Search › Georgia › 163WP0200X
Breezy Henderson
NPI 1639032857 · on the registry since 2025 · sole proprietor
Practice
- Address
- 565 Riverbluff Dr
Summerville, GA 30747 - Phone
- (706) 844-7979
- Fax
- (706) 844-7979
Registry record
- Primary taxonomy
- 163WP0200X
163WP0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-04
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