| Ms Lauren I Henderson, MD | |
| 
					1550 Mulkey Rd, Austell, GA 30106-1112  | |
| (707) 321-1377 | |
| (770) 732-2081 | 
| Full Name | Ms Lauren I Henderson | 
|---|---|
| Gender | Female | 
| Speciality | Dermatology | 
| Location | 1550 Mulkey Rd, Austell, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669817011 | NPI | - | NPPES | 
| 003244191G | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 86208 (Georgia) | Primary | 
| Entity Name | Emory Medical Care Foundation Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968  | 
| Entity Name | Atlanta West Deramtology, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174680979 PECOS PAC ID: 9638135692 Enrollment ID: O20041202000177  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Lauren I Henderson, MD 1550 Mulkey Rd, Austell, GA 30106-1112 Ph: (770) 732-1137  | Ms Lauren I Henderson, MD 1550 Mulkey Rd, Austell, GA 30106-1112 Ph: (707) 321-1377  | 
Latrice M Hogue, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1550 Mulkey Rd, Austell, GA 30106 Phone: 770-732-1137 Fax: 770-732-2081  | |
Janice Murphy Warner, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1550 Mulkey Rd, Austell, GA 30106 Phone: 404-446-1440 Fax: 770-732-2081  | |
Kerrie Grunnet Satcher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1550 Mulkey Rd, Austell, GA 30106 Phone: 770-732-1137 Fax: 770-732-2081  | |
Dr. Louis Jack Herskowitz, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1790 Mulkey Rd, Suite 1, Austell, GA 30106 Phone: 770-941-1013 Fax: 770-941-9418  |