Individual provider · NPI-1

Robert L Henderlite

Technician/Technologist, Ocularist · Charlotte, NC

NPI number1881619633
StatusActive
Last updated in NPPESJan 7, 2008

Details

NPI
1881619633
Entity type
Individual (NPI-1)
Name
Mr. Robert L Henderlite
Sex
Male
Sole proprietor
No
Enumeration date
Jul 13, 2006
Last updated
Jan 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1700X Technician/Technologist, Ocularist––Yes

Practice location

8426 Medical Plaza Dr
Suite 500
Charlotte, NC 28262-9746

Phone 704-510-9292 · Fax 704-510-9881

Mailing address

8426 Medical Plaza Dr
Suite 500
Charlotte, NC 28262-9746

Phone 704-510-9292 · Fax 704-510-9881

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