SearchGeorgia213ES0103X

Mark Henson, DPM

NPI 1750473476 · on the registry since 2006 · sole proprietor

Practice

Address
730 S 8th St
Griffin, GA 30224
Phone
(770) 228-6644
Fax
(770) 228-5769
Organisation at this address
Jdd Anesthesia, Llc
Modern Podiatry, Llc
Mark J Henson Dpm Pc
Outpatient Center For Foot Surgery
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-02-03

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