Individual provider · NPI-1
Dr. Brian N Henry, MD
Family Medicine · Due West, SC
NPI number1780669564
StatusActive
Last updated in NPPESMar 1, 2011
Details
- NPI
- 1780669564
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian N Henry
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2005
- Last updated
- Mar 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 13965 | SC | Yes |
Practice location
6 College StDue West, SC 29639-9554
Phone 864-379-2345 · Fax 864-379-3228
Mailing address
Po Box 638Due West, SC 29639-0638
Phone 864-379-2345 · Fax 864-379-3228
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