Organization
HENDERSON WELLNESS CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS MICHAEL MAHAN M.D. (DOCTOR)
(252) 430-8000
Entity
Organization
Contact information
Practice address
414 DABNEY DR, HENDERSON, NC 27536-3944
(252) 430-8000
(252) 430-8200
Mailing address
414 DABNEY DR, HENDERSON, NC 27536-3944
(252) 430-8000
(252) 430-8200
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
25053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8953753
—
NC
Enumeration date
09/26/2008
Last updated
09/26/2008
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