HENDERSON MICHAEL LANE

COLUMBIA, SC
NPI1821181157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: SC  14222)
Enumeration Date2006-09-30
Last Update Date2007-07-08
Business Address
Dr. HENDERSON MICHAEL LANE MD
4500 STUART ST MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
Mailing Address
Dr. HENDERSON MICHAEL LANE MD
4500 STUART ST MONCRIEF ARMY HOSPITAL, ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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