| NPI | 1821130295 |
|---|---|
| Doing Business As | HENDERSON DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JULIA ALVEY Credentialing 270-852-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2025-06-05 |