Individual
DR. JAMES ALAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2750 LAUREL ST, SUITE 103, COLUMBIA, SC 29204-2038
(803) 254-5171
(803) 779-7403
Mailing address
2750 LAUREL ST, SUITE 103, COLUMBIA, SC 29204-2038
(803) 254-5171
(803) 779-7403
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
30952
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309525
—
SC
Enumeration date
04/30/2008
Last updated
02/07/2014
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