MEDICARE: MARTHA CLAIRE K HENZLER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	100847	NC

General Provider Information

NPI Number	:	1649275710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA CLAIRE K HENZLER PA-C

Provider Business Mailing Address
First Line	:	280 BROAD ST
Second Line	:	STE B
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-2948
Country	:	US
Telephone Number	:	336-993-2224
Fax Number	:	336-993-0382

Provider Business Practice Location Address
First Line	:	280 BROAD ST
Second Line	:	STE B
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-2948
Country	:	US
Telephone Number	:	336-993-2224
Fax Number	:	336-993-0382

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1598106171 — MS. CYNTHIA RENA JONES MS,CRC, LCMHC
Practice Location Address:

280 BROAD ST STE E
KERNERSVILLE, NC
27284-2948

Practice Phone: 336-277-6050
Practice Fax: 336-992-3141

1508865247 — MR. CHRISTOPHER SCOTT BRUMFIELD MD
Practice Location Address:

280 BROAD ST STE B , SUITE B
KERNERSVILLE, NC
27284-2948

Practice Phone: 336-992-2672
Practice Fax: 336-992-2674

1063454569 — FORSYTH RADIOLOGICAL ASSOCIATES
Practice Location Address:

280 BROAD ST
KERNERSVILLE, NC
27284-2948

Practice Phone: 336-794-4372
Practice Fax: 336-659-2379

1922038322 — RICHARD EDWARD HERRICK D.O.
Practice Location Address:

280 BROAD ST STE E
KERNERSVILLE, NC
27284-2948

Practice Phone: 336-277-6050
Practice Fax: 336-992-3141

1538273990 — EXCEL IMAGING LLC
Practice Location Address:

280 BROAD ST STE F
KERNERSVILLE, NC
27284-2948

Practice Phone: 336-794-4372
Practice Fax: 336-659-2379

1861672347 — DR. MARY PATRICIA MOORE M.D.
Practice Location Address:

280 BROAD ST STE E
KERNERSVILLE, NC
27284-2948

Practice Phone: 336-277-6050
Practice Fax: 336-992-3141

Directions to “ MARTHA CLAIRE K HENZLER PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.