Johnathan Edward Henderson, M.D.

NPI #1154327856 in Rome, Georgia

Provider Information

NPI Number: 1154327856
Entity Type: Individual
Name: Johnathan Edward Henderson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 27, 2005
Last Updated: Mar 10, 2023

Practice Location

Address: 304 SHORTER AVE NW STE 201
City: Rome
State: Georgia
ZIP Code: 30165
Phone: (706) 509-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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