NPI 1275067969

Elizabeth Henderson

Practitioner Health Maintenance Organization Atmore, AL

Practice location

Address: 102 W Louisville Ave, Atmore, AL 36502-1710
Phone: (251) 359-4480
Fax: (251) 368-2111
Mailing address: PO Box 525, Atmore, AL 36504-0525

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 359-052 (AL)

Other Health Maintenance Organization providers in Alabama →

Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X Licence M16000003277 (FL)

Registry record

NPI: 1275067969
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2017
Record last updated: 19 Apr 2017

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.