Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICARRO HENDERSON
Active Sole ProprietorNICARRO HENDERSON is a Customized Equipment (DME) healthcare provider located in ALBANY, Georgia. NPI 1205373917 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · ALBANY, GA
Registration Details
- NPI Number
- 1205373917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2017 (9.5764211735908 yrs)
- Last Updated
- Apr 3, 2019
- Licenses
-
CO102526 (GA)CO102526 (GA)CO102526 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2005 E DAWSON RDALBANY, GA, 31707Browse GA providers · Browse ZIP 31707
- Phone
- 2298097246
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
- Additional Specialty
- Specialist
- Additional Specialty
- Customized Equipment (DME)
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.