MEDICARE: JOSEPH S. HENSLEY

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1386391894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH S. HENSLEY

Provider Business Mailing Address
First Line	:	507 W MAIN ST
Second Line	:
City	:	HOHENWALD
State	:	TN
Zip	:	38462-1319
Country	:	US
Telephone Number	:	931-796-5942
Fax Number	:

Provider Business Practice Location Address
First Line	:	507 W MAIN ST
Second Line	:
City	:	HOHENWALD
State	:	TN
Zip	:	38462-1319
Country	:	US
Telephone Number	:	931-796-5942
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	GINGER PACE
Credential	:
Telephone Number	:	931-796-5943

Provider Enumeration Date	:	03/04/2022
Last Update Date	:	03/07/2022

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Directions to “JOSEPH S. HENSLEY ” Practice Location

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