Organization
MARK J HENSON DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HENSON (OWNER)
(770) 228-6644
Entity
Organization
Contact information
Practice address
730 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 228-6644
(770) 228-5769
Mailing address
730 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 228-6644
(770) 228-5769
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000897
GA
Other
Enumeration date
11/30/2007
Last updated
02/03/2010
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