Individual
DR. TIMOTHY RYAN HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N A ST, EASLEY, SC 29640
(864) 855-0001
(864) 855-5030
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2017-02273
NC
208000000X
Pediatrics Physician
Primary
82077
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649539818
—
NC
01
—
19TJ8
BCBS NC
NC
05
—
820776
—
SC
Enumeration date
05/09/2012
Last updated
05/07/2021
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