Individual
MR. RICHARD ROBERT HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1522 VAUGHN RD, BURLINGTON, NC 27217
(336) 226-9393
(336) 227-0496
Mailing address
1522 VAUGHN RD, BURLINGTON, NC 27217
(336) 226-9393
(336) 227-0496
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
13641
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901143
—
NC
05
—
8941461
—
NC
Enumeration date
03/14/2006
Last updated
07/09/2007
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