Jordan Andrew Henderson, D.O.
Internal Medicine, Hematology & Oncology in Myrtle Beach, SC. Individual provider (NPI-1).
Details
- NPI
- 1013200328
- Entity type
- Individual (NPI-1)
- Name
- Jordan Andrew Henderson
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2011
- Last updated
- Jun 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 39910 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 5101019226 | MI |
Practice location
8121 Rourk StMyrtle Beach, SC 29572
Phone 843-692-5000 · Fax 843-692-5010
Mailing address
8121 Rourk StMyrtle Beach, SC 29572-4128
Phone 843-692-5000 · Fax 843-429-5053
Other practice locations
Conway, SC 29526-8747
Phone 843-234-1660 · Fax 843-234-1661
Loris, SC 29569-2714
Phone 843-756-0932 · Fax 843-756-0508
Murrells Inlet, SC 29576-5016
Phone 843-357-7357 · Fax 843-357-7358
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