Individual
ALVIN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5654 SUMMER MEADOW PASS, STONE MOUNTAIN, GA 30087-6014
(678) 768-9708
Mailing address
5654 SUMMER MEADOW PASS, STONE MOUNTAIN, GA 30087-6014
(678) 768-9708
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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