Albert E Henderson MD PC
Organization Active NPI Internal Medicine Physician · Saint Simons Island, GA
NPI 1497056865 · NPPES record last updated Nov 16, 2010
Key facts
- NPI
- 1497056865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 024948 (GA)
- Legal business name
- ALBERT E HENDERSON MD PC
- Practice address
- 330 Oak St
Saint Simons Island, GA 31522-4725 - Phone
- (912) 258-4075
- Fax
- (912) 634-2371
- NPI assigned
- Nov 16, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Albert Eben Henderson, MD
- Title
- Physician
- Phone
- (912) 258-4075
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 024948 | GA | Yes |
Addresses
Primary practice location
330 Oak St
Saint Simons Island, GA 31522-4725
Mailing address
330 Oak St
Saint Simons Island, GA 31522-4725
Phone (912) 258-4075
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00261522L | Medicaid | GA |
Other providers in Saint Simons Island, GA
- Acorn Outpatient Atlanta, LLC
- Acorn Recovery Institute, Inc.
- Marie Albrecht
- Daniel Allcott
- Arthur R. Hagen, MD
- Artman Medical Services, PC
- Associated Health Services
All providers in Saint Simons Island, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.