Search › Georgia › 1223G0001X
Mark Henderson, DMD
NPI 1992792840 · on the registry since 2005
Practice
- Address
- 23d Medical Group 3278 Mitchell Blvd
Moody Afb, GA 31699 - Phone
- (229) 257-1459
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-25
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