Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH HENDERSON
Active Sole ProprietorELIZABETH HENDERSON is a Health Maintenance Organization healthcare provider located in ATMORE, Alabama. NPI 1275067969 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · ATMORE, AL
Registration Details
- NPI Number
- 1275067969
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2017 (9.3549571873265 yrs)
- Last Updated
- Apr 19, 2017
- Licenses
-
359-052 (AL)M16000003277 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 W LOUISVILLE AVEATMORE, AL, 365021710Browse AL providers · Browse ZIP 36502
- Phone
- 2513594480
- Fax
- 2513682111
- Primary Specialty
-
Health Maintenance Organization
302R00000X
- Additional Specialty
- Health Maintenance Organization
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.