person
Dr. Larry A Henderson JR., MD
Family Medicine Physician in Lucedale, Mississippi
NPI 1215976022

Larry A Henderson JR. is a Family Medicine Physician based in Lucedale, MS. Larry A Henderson JR. practices in Lucedale, MS and has the professional credentials of MD. The NPI Number for Larry A Henderson JR. is 1215976022 and holds a License No. 19697 (Mississippi).

The current practice location address for Larry A Henderson JR. is 92 Ratliff St, Lucedale, MS and can be reached out via phone at 601-947-8181 and via fax at 601-947-4411.

Location: 92 Ratliff St, Lucedale, MS, 39452-1007
person
Provider Profile Details
NPI Number
1215976022
Provider Name
Larry A Henderson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
92 Ratliff St, Lucedale, MS, 39452-1007
Phone Number
601-947-8181
Fax Number
601-947-4411
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009966685 05 AL
270736500 05 FL
01-01886 01 AL UNITED HEALTH CARE
09435313 05 MS
P00696992 01 MS PALMETTO GBA
51523926 01 AL BLUE CROSS
1502324 05 LA
institution
Provider Business Practice Location Address Details
Address
92 Ratliff St
City
State
Zip
39452-6537
Phone Number
601-947-8181
Fax Number
601-947-4411
person
Provider Business Mailing Address Details
Address
92 Ratliff St
City
State
Zip
39452-6537
Phone Number
601-947-8181
Fax Number
601-947-4411
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
19697 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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