Individual
ANNA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 HIGHWAY 78 E, JASPER, AL 35501-8907
(205) 387-4000
Mailing address
PO BOX 77019, CLEVELAND, OH 44194-0015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2015
Last updated
01/15/2015
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