Mary Susan Henderson, M.D.
Obstetrics & Gynecology in Lake Village, AR. Individual provider (NPI-1).
NPI number1972539773
StatusActive
Last updated in NPPESJun 4, 2014
Details
- NPI
- 1972539773
- Entity type
- Individual (NPI-1)
- Name
- Mary Susan Henderson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2006
- Last updated
- Jun 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | E-4988 | AR | Yes |
Practice location
2729 S Highway 65 82Lake Village, AR 71653-6136
Phone 870-265-9380 · Fax 870-265-9389
Mailing address
2729 S Highway 65 82Lake Village, AR 71653-6136
Phone 870-265-9380 · Fax 870-265-9389
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