Dr. Jeffrey Harris Henderson
Family Doctor Family Doctor - Sports Medicine
170 Kimel Park Dr
Winston Salem
, North Carolina 27103-6946
Dr. Jeffrey Harris Henderson
Family Doctor Family Doctor - Sports Medicine
170 Kimel Park Dr
Winston Salem
, North Carolina 27103-6946
(704) 323-2000
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Harris Henderson
- 4601 Park Rd Suite 250
- Charlotte, NC
- Zip : 28209-3239
- Phone : (704) 323-2000
Second Address
- Dr. Jeffrey Harris Henderson
- 170 Kimel Park Dr
- Winston Salem, NC
- Zip : 27103-6946
- Phone : (704) 323-2000
Reviews
FAQs
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What type of doctor is Dr. Jeffrey Harris Henderson
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Is Dr. Jeffrey Harris Henderson a sole practitioner?
Is Dr. Jeffrey Harris Henderson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 2011-00070 | NC |
| N | 207QS0010X | Family Doctor - Sports Medicine | 2011-00070 | NC |
National Provider Identifier
| NPI | 1235386848 |
|---|---|
| Provider Name | Dr. Jeffrey Harris Henderson |
| First Address | Charlotte, NC 28209-3239 |
| Second Address | Winston Salem, NC 27103-6946 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/08/2008 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1497704217 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.