HENDERSON FAMILY PRACTICE, INC is a primary care clinic center in Waycross, GA. HENDERSON FAMILY PRACTICE, INC NPI is 1629522032. The provider is registered as an organization entity type.
The provider's business location address is:
403 LISTER ST
SUITE A
WAYCROSS, GA
ZIP 31501-225
Phone: (912) 283-4422
Fax: (912) 283-4866
The provider's authorized official is Lori Tayman Henderson .
The authorized official title is Family Nurse Practitioner/owner and has the following contact phone number (912) 283-4422.
The CLIA number assigned to this NPI record is 11D2118853 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/15/2016 and was last updated on 8/15/2016.