Individual
DR. BARRY TRIPP HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1211 OFFICE PARK DR, OXFORD, MS 38655-9330
(662) 236-2295
(662) 236-2215
Mailing address
1211 OFFICE PARK DR, OXFORD, MS 38655-9330
(662) 236-2295
(662) 236-2215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1007
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124685
—
MS
01
—
7449231
AETNA
MS
Enumeration date
10/06/2006
Last updated
07/08/2007
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