NPI 1003599648

Eric Henderson

Practitioner Certified Registered Nurse Anesthetist Fort Moore, GA

Practice location

Address: 6600 van Aalst Blvd, Fort Moore, GA 31905-2102
Phone: (762) 408-3107
Mailing address: 4926 Cedar Ridge CT, Columbus, GA 31909-2081

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 1127699 (TX)

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Registry record

NPI: 1003599648
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2023
Record last updated: 15 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.