Individual
SANDY HENIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58764
TN
208M00000X
Hospitalist Physician
58764
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2015
Last updated
01/24/2024
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