Jeannie Henderson

NPI #1548670045 in Waycross, Georgia

Provider Information

NPI Number: 1548670045
Entity Type: Individual
Name: Jeannie Henderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist
Enumeration Date: May 6, 2014
Last Updated: May 6, 2014

Practice Location

Address: 320 PENDLETON ST
City: Waycross
State: Georgia
ZIP Code: 31501-3731
Phone: (912) 590-2549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	225500000X	Primary

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