Michele Henson, MD
Allergy & Immunology in Pooler, GA. Individual provider (NPI-1).
NPI number1306993126
StatusActive
Last updated in NPPESSep 1, 2015
Details
- NPI
- 1306993126
- Entity type
- Individual (NPI-1)
- Name
- Michele Henson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- Sep 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | 073306 | GA | Yes |
| 207K00000X | Allergy & Immunology | ME115621 | FL |
Practice location
143 Canal StreetSuite 200
Pooler, GA 31322
Phone 912-348-4100
Mailing address
143 Canal StreetSuite 200
Pooler, GA 31322
Phone 912-348-4100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Allergy & Immunology Physician providers in Pooler, GA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.