NPI 1013768936

Alicia Henderson

Practitioner Home Modifications Contractor Unadilla, GA

Practice location

Address: 263 Bogan St, Unadilla, GA 31091-3798
Phone: (478) 235-9885

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 99-2203499 (GA)

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Registry record

NPI: 1013768936
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2024
Record last updated: 28 Mar 2024

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.