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1013568740
MATTHEW HENDERSON
CARROLLTON, GA
NPI
1013568740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN239465)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
Mr. MATTHEW HENDERSON FNP-C
150 CLINIC AVE STE 101
CARROLLTON, GA 30117-4402
Phone number: 770-834-0873
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Mailing Address
Mr. MATTHEW HENDERSON FNP-C
227 KRAMER ST
CARROLLTON, GA 30117-3705
Phone number:
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