Audrey M Henderson, MD | |
1109 Medical Center Dr, Suite 3, Augusta, GA 30909-6644 | |
(706) 860-4567 | |
(706) 860-4489 |
Full Name | Audrey M Henderson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 40 Years |
Location | 1109 Medical Center Dr, Augusta, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639161102 | NPI | - | NPPES |
00383897A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 029884 (Georgia) | Secondary |
207Q00000X | Family Medicine | GA029884 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Doctors Hospital | Augusta, GA | Hospital |
University Hospital | Augusta, GA | Hospital |
Entity Name | Audrey Henderson M.d.p.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386825222 PECOS PAC ID: 0749194561 Enrollment ID: O20031117000401 |
Mailing Address | Practice Location Address |
---|---|
Audrey M Henderson, MD 1109 Medical Center Dr, Suite 3, Augusta, GA 30909-6644 Ph: (706) 860-4567 | Audrey M Henderson, MD 1109 Medical Center Dr, Suite 3, Augusta, GA 30909-6644 Ph: (706) 860-4567 |
Dr. Toya Hester Kelley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157 | |
Dr. Daria Ravangard, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-6569 | |
Janis S. Coffin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264 | |
Dr. William Robert Rout, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 963 Bennock Mill Dr., Augusta, GA 30906 Phone: 352-538-5899 | |
Racquel Puranda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 678-790-0634 | |
Angela Overstreet Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2607 Commons Blvd, Augusta, GA 30909 Phone: 706-750-8601 | |
Shahed Anam Ibn Faruk, Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 |