| NPI | 1821130295 |
|---|---|
| Doing Business As | HENDERSON DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JUNE D GIRTEN Clerical Supervisor 270-685-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2022-07-21 |