Individual
DR. SHONTE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
(404) 366-3636
Mailing address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
(404) 366-3636
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
062516
GA
208000000X
Pediatrics Physician
Primary
OS014543
PA
Other
Enumeration date
01/12/2009
Last updated
04/14/2022
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