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NPI Code Detail

MEDICARE: PHILLIP HENDERSON D.O.

MEDICARE: PHILLIP HENDERSON D.O.
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
1207RG0100XGastroenterology PhysicianDO.1151AL
2207RI0008XHepatology Physician1151AL
3207R00000XInternal Medicine PhysicianDO1151AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144450792
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP HENDERSON D.O.
Provider Business Mailing Address
First Line : 1700 SPRING HILL AVE STE 100
Second Line :
City : MOBILE
State : AL
Zip : 36604-1416
Country : US
Telephone Number : 251-435-1200
Fax Number : 251-435-6361
Provider Business Practice Location Address
First Line : 1700 SPRING HILL AVE STE 100
Second Line :
City : MOBILE
State : AL
Zip : 36604-1416
Country : US
Telephone Number : 251-435-1200
Fax Number : 251-435-6361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2009
Last Update Date : 04/21/2026

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Directions to “ PHILLIP HENDERSON D.O.” Practice Location

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