MEDICARE: MRS. CYNTHIA J HENDERSON BC-HIS, SCHID

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	237700000X	Hearing Instrument Specialist	274	SC

General Provider Information

NPI Number	:	1396924130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA J HENDERSON BC-HIS, SCHID

Provider Business Mailing Address
First Line	:	1001B FAIRLAWN DR
Second Line	:
City	:	CAMDEN
State	:	SC
Zip	:	29020-4525
Country	:	US
Telephone Number	:	803-432-7032
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001-B FAIRLAWN DR
Second Line	:
City	:	CAMDEN
State	:	SC
Zip	:	29020
Country	:	US
Telephone Number	:	803-423-7032
Fax Number	:

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

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	01/20/2026

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