Individual
CARRIE MORGAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5214
(601) 984-6439
Mailing address
2500 N STATE ST, DEPT OF PEDIATRICS, JACKSON, MS 39216-4500
(601) 984-5214
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.093662
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
22092
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2359681
—
LA
Enumeration date
01/04/2007
Last updated
07/28/2014
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