PATTY KRISTAL HENRY MD NPI 1689757155

NPI Information

NPI: 1689757155
Provider Name: PATTY KRISTAL HENRY, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
195 E TOLLISON ST
BAXLEY, GA
ZIP 31513
Phone: (912) 367-0434
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Patty Kristal Henry, MD is an obstetrics gynecology in Baxley, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Patty Kristal Henry, MD NPI is 1689757155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

195 E TOLLISON ST
BAXLEY, GA
ZIP 31513-120
Phone: (912) 367-0434
Fax: (912) 367-0436

The enumeration date for this NPI number is 10/20/2006 and was last updated on 10/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		35077380	OHIO	No
2	207V00000X	Obstetrics & Gynecology		060851	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01063	MEDICAID	NORTH DAKOTA
2	474244127A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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