EDMOND CHARLES HENSON

CITRONELLE, AL
NPI1306974704
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  ACSC6534)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
EDMOND CHARLES HENSON M.D., P.H.D.
19280 HOWARD AVE
CITRONELLE, AL 36522-2016
Phone number: 251-866-9811
Mailing Address
EDMOND CHARLES HENSON M.D., P.H.D.
PO BOX 495
CITRONELLE, AL 36522-0495
Phone number: 251-866-9811