Search › Georgia › 171M00000X
Charles Henderson
NPI 1023734035 · on the registry since 2022
Practice
- Address
- 400 Pharr Rd Ne Unit 729
Atlanta, GA 30305 - Phone
- (404) 791-8070
- Fax
- (404) 400-5431
- Organisation at this address
- Second Chance Case Management Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2022-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia