Individual
JOHN TAYLOR HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1285 SIMS ST, GAINESVILLE, GA 30501-3851
(770) 219-8583
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29885
GA
208M00000X
Hospitalist Physician
29885
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1640517
CIGNA
GA
Enumeration date
05/23/2005
Last updated
11/16/2022
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