NPI 1891285607

Bettina Louise Henderson

Practitioner Driver Columbus, MS

Practice location

Address: 111 Stokes Rd, Columbus, MS 39702-7541
Phone: (662) 251-5074

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1891285607
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2018
Record last updated: 16 May 2018

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.