Individual
DR. TODD MARCOS HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
363 SOUTHCREST CIR STE 201, SOUTHAVEN, MS 38671-4737
(662) 349-0488
(662) 349-5974
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
22431
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
48203
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
E-12098
AR
207RP1001X
Pulmonary Disease Physician
22431
MS
207RP1001X
Pulmonary Disease Physician
48203
TN
207RP1001X
Pulmonary Disease Physician
E-12098
AR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
22431
MS
207RS0012X
Sleep Medicine (Internal Medicine) Physician
48203
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
E-12098
AR
Other
Enumeration date
01/16/2008
Last updated
03/28/2023
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