MEDICARE: JOSH MATTHEW HENDERSON

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	2255A2300X	Athletic Trainer	AT002889	GA

General Provider Information

NPI Number	:	1306431267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSH MATTHEW HENDERSON

Provider Business Mailing Address
First Line	:	3333 OLD MILTON PKWY
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-4626
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 OLD MILTON PKWY
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-4626
Country	:	US
Telephone Number	:	678-856-1700
Fax Number	:

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

Provider Enumeration Date	:	03/03/2021
Last Update Date	:	03/03/2021

Similar Medicare Providers

1649614132 — DR. DAVID ANDREW HILL MD, FACS
Practice Location Address:

3333 OLD MILTON PKWY STE 260
ALPHARETTA, GA
30005-4626

Practice Phone: 770-772-0695
Practice Fax: 770-751-0409

1265606891 — MAUREEN CASSIDY RISKI AU.D.
Practice Location Address:

3333 OLD MILTON PKWY STE 520
ALPHARETTA, GA
30005-4626

Practice Phone: 770-777-1100
Practice Fax: 770-751-9089

1528339645 — THE GRAIVIER CENTER
Practice Location Address:

3333 OLD MILTON PARKWAY , SUITE 260
ALPHARETTA, GA
30005-4626

Practice Phone: 770-772-0695
Practice Fax: 770-751-0409

1184978041 — MONICA E BURRELL CRNA
Practice Location Address:

3333 OLD MILTON PKWY
ALPHARETTA, GA
30005-4626

Practice Phone: 770-645-9181
Practice Fax: 770-645-8455

1154999282 — GRAIVIER SURGERY CENTER
Practice Location Address:

3333 OLD MILTON PKWY STE 260
ALPHARETTA, GA
30005-4626

Practice Phone: 770-772-0695
Practice Fax:

1770362873 — VERNU 2 INC
Practice Location Address:

3333 OLD MILTON PKWY STE G100-A
ALPHARETTA, GA
30005-4626

Practice Phone: 770-755-5441
Practice Fax:

Directions to “ JOSH MATTHEW HENDERSON ” 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.