| 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 |
| Experience | 12 Years |
| Location | 1550 Mulkey Rd, Austell, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669817011 | NPI | - | NPPES |
| 003244191G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 86208 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlanta West Deramtology, P.c. | 9638135692 | 4 |
| 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: Accepting Medicare Assignments Practice Location: 1550 Mulkey Rd, Austell, GA 30106 Phone: 770-732-1137 Fax: 770-732-2081 | |
Janice Murphy Warner, MD Dermatology Medicare: Medicare Enrolled 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 |