person
Dr. Tammy N Henderson, MD
General Practice Physician in Collinsville, Mississippi
NPI 1801997606

Tammy N Henderson is a General Practice Physician based in Collinsville, MS. Tammy N Henderson practices in Collinsville, MS and has the professional credentials of MD. The NPI Number for Tammy N Henderson is 1801997606 and holds a License No. 13886 (Mississippi).

The current practice location address for Tammy N Henderson is 9325C Highway 19 N, Collinsville, MS and can be reached out via phone at 601-626-7108 and via fax at 601-626-7975.

Location: 9325C Highway 19 N, Collinsville, MS, 39325-9219
person
Provider Profile Details
NPI Number
1801997606
Provider Name
Tammy N Henderson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
9325C Highway 19 N, Collinsville, MS, 39325-9219
Phone Number
601-626-7108
Fax Number
601-626-7975
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13886 01 MS MS LICENSE NUMBER
00121471 05 MS
institution
Provider Business Practice Location Address Details
Address
9325C Highway 19 N
City
State
Zip
39325-9219
Phone Number
601-626-7108
Fax Number
601-626-7975
person
Provider Business Mailing Address Details
Address
9325C Highway 19 N
City
State
Zip
39325-9219
Phone Number
601-626-7108
Fax Number
601-626-7975
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
13886 (Mississippi)
Definition
Definition to come...
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