Individual provider · Type 1 NPI
Susan Marie Henderson, PA-C
Medical Physician Assistant · Columbia, SC
NPI number
1184753063
Active
Practice location
111 Doctor Cir
Columbia, SC 29203-6502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | TL1507 (SC) |
| Medical Physician Assistant | 363AM0700X | MA002063L (PA) |
| Medical Physician Assistant Primary | 363AM0700X | 1507 (SC) |
Medical Physician Assistant: Definition to come...
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Other medical physician assistant providers in Columbia
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- Eugene Patrick Kistler, PA-CMedical Physician Assistant Columbia, SC NPI 1073618880
- Prima Dorothy Ray, PA-CMedical Physician Assistant Columbia, SC NPI 1083270912
- Joyce Perkins, PA-CMedical Physician Assistant Columbia, SC NPI 1154426898
- Savannah Roof, PAMedical Physician Assistant Columbia, SC NPI 1154808525
- Kimberly Shirk, PA-CMedical Physician Assistant Columbia, SC NPI 1164683926
About NPI 1184753063
Susan Marie Henderson, PA-C's National Provider Identifier is 1184753063, issued on Mar 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Columbia, SC. The record was last updated on Nov 2, 2022.