Individual
DR. JAMES HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 22ND AVE STE C, MERIDIAN, MS 39301-4010
(601) 484-5876
(601) 482-8311
Mailing address
1505 SPRINGRIDGE DR, JACKSON, MS 39211-3231
(601) 957-8494
(601) 482-8311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15783
MS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
15783
MS
Other
Enumeration date
08/12/2006
Last updated
08/06/2007
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