Individual
DR. ADELAIDE FRANCES HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 AIRPORT RD N, SUITE 204, FLOWOOD, MS 39232-8827
(601) 932-3191
(601) 936-7199
Mailing address
1503 HIGHWAY 45 N, COLUMBUS, MS 39705-2113
(662) 328-9623
(662) 327-7477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14341
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116151
—
MS
Enumeration date
10/18/2005
Last updated
11/10/2009
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