Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY SUSAN HENDERSON, M.D.
ActiveMARY SUSAN HENDERSON, M.D. is a Obstetrics & Gynecology healthcare provider located in LAKE VILLAGE, Arkansas. NPI 1972539773 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · LAKE VILLAGE, AR
Registration Details
- NPI Number
- 1972539773
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2006 (20.18910113591 yrs)
- Last Updated
- Jun 4, 2014
- License
-
E-4988 (AR)
Practice Information
- Address
-
2729 S HIGHWAY 65 82LAKE VILLAGE, AR, 716536136Browse AR providers · Browse ZIP 71653
- Phone
- 8702659380
- Fax
- 8702659389
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
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.