Carl Henderson

NPI 1952333080 · on the registry since 2006 · sole proprietor

Practice

Address: 6005 Park Ave
Suite 802
Memphis, TN 38119
Phone: (901) 763-0037
Fax: (901) 763-0065
Organisation at this address: Trawvb Llc
Walgreen Co
Eric Blakney
Maymacs, Inc
Steven N. Rice
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 134

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Tennessee