Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHAN EDWARD HENDERSON, M.D.
Active Sole ProprietorJOHNATHAN EDWARD HENDERSON, M.D. is a Family Medicine healthcare provider located in ROME, Georgia. NPI 1154327856 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ROME, GA
Registration Details
- NPI Number
- 1154327856
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2005 (21.115166496359 yrs)
- Last Updated
- Mar 10, 2023
- License
-
054898 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
304 SHORTER AVE NW STE 201ROME, GA, 30165Browse GA providers · Browse ZIP 30165
- Phone
- 7065093300
- Fax
- 7065093301
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ROME, GA
| Name | Credential | NPI |
|---|---|---|
| JOHN J DESMOND IV | MD | 1033112438 |
| NATASHA AMANDA SANDS | MD | 1932104924 |
| DR. FRANK R DON DIEGO | MD | 1114925872 |
| DR. MICHAEL S JACKSON | MD | 1306830062 |
| MR. EDWARD E MEIER | M.D. | 1376537084 |
| SHALINI GAVVA REDDY | MD | 1811982770 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.