Individual
DR. TERRI HAYES HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7585 CLARINGTON CV, SOUTHAVEN, MS 38671-5656
(662) 349-0200
(662) 349-1666
Mailing address
7585 CLARINGTON CV, SOUTHAVEN, MS 38671-5656
(662) 349-0200
(662) 349-1666
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16501
MS
207N00000X
Dermatology Physician
25961
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015946
—
MS
Enumeration date
07/22/2005
Last updated
06/30/2014
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