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Organization

HENDERSON WELLNESS CENTER, PA

Active
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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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