Individual
CAROLYN JORDAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 TULLIE RD NE FL 5, ATLANTA, GA 30329-2309
(404) 785-5437
Mailing address
1400 TULLIE RD NE FL 5H, ATLANTA, GA 30329-2309
(404) 785-5437
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
86887
GA
Other
Enumeration date
03/22/2017
Last updated
08/15/2023
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