Most Relevant Information
Provider Data
| NPI Number: | 1003580986 |
| Provider Name: | TERRANCE B HENDERSON AGNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | GAA-NP000193 |
Most Important Dates
| Enumeration Date: | 08/04/2021 |
| Last Updated: | 11/11/2022 |
Provider Practice Location
3180 N POINT PKWY STE 302
ALPHARETTA
GA
300054381
Practice Location Phone/Fax
| Phone: | 4048005181 |
| Fax: |
Provider Mailing Location
2789 SATELLITE BLVD UNIT 2119
DULUTH
GA
300965904
Provider Mailing Phone/Fax
| Phone: | 3173732184 |
| Fax: |