Individual
NANCY ANN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 220-7270
(864) 220-7290
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
16065
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160658
—
SC
Enumeration date
05/10/2006
Last updated
02/20/2018
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