Audrey M Henderson (NPI# 1639161102, PAC ID# 0446164263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639161102 |
| PAC ID by PECOS | 0446164263 |
| Professional Enrollment ID | I20031118000003 |
| Full Name | Audrey M Henderson |
| Address |
1109 Medical Ctr Dr Suite 3 Augusta GA 30909-6644 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110177 | DOCTORS HOSPITAL |
| 110028 | UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1109 Medical Ctr Dr, Suite 3, Augusta, GA 30909-6644 |
| Street Address |
1109 MEDICAL CTR DR SUITE 3 |
| City | AUGUSTA |
| State | GA |
| Zip | 30909-6644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent M Plowman | Interventional Pain Management | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Russell L Stephens | Anesthesiology | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan E Reimer | Family Medicine | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Edgar R Bohannon | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Tarak V Patel | Infectious Disease | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Amanda S Battey | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Rebecca B Hopkins | Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Augusta, GA 30909 |
| Dale Patrick | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| George Herman Hamiter Iii | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Miguel Angel Bosch | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Gina Durant | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Lewis Steinfeld | Optometry | Martinez Eye Associates LLC | 3412 Wrightsboro Rd, Suite 905, Augusta, GA 30909-1015 |
| Find all physicians in zip 30909 | |||
| City | AUGUSTA |
| Zip Code | 30909 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | AUGUSTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Audrey M Henderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.