person
Susan Marie Henderson, PA-C
Medical Physician Assistant in Columbia, South Carolina
NPI 1184753063

Susan Marie Henderson is a Medical Physician Assistant based in Columbia, SC and is specialized in Medical. Susan Marie Henderson practices in Columbia, SC and has the professional credentials of PA-C. The NPI Number for Susan Marie Henderson is 1184753063 and holds a License No. TL1507 (South Carolina).

The current practice location address for Susan Marie Henderson is 111 Doctor Cir, Columbia, SC and can be reached out via phone at 800-491-0909.

Location: 111 Doctor Cir, Columbia, SC, 29203-6502
person
Provider Profile Details
NPI Number
1184753063
Provider Name
Susan Marie Henderson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
111 Doctor Cir, Columbia, SC, 29203-6502
Phone Number
800-491-0909
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Doctor Cir
City
State
Zip
29203-6502
Phone Number
800-491-0909
Fax Number
person
Provider Business Mailing Address Details
Address
111 Doctor Cir
City
State
Zip
29203-6502
Phone Number
800-491-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
TL1507 (South Carolina)
Definition
Definition to come...
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