DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GREGORY D HENDERSON CRNA

MEDICARE: GREGORY D HENDERSON CRNA
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
1367500000XCertified Registered Nurse AnesthetistAPN477SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00123825OTHERSCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528068335
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY D HENDERSON CRNA
Provider Business Mailing Address
First Line : 612 CHERRY DR
Second Line :
City : SURFSIDE BEACH
State : SC
Zip : 29575-4111
Country : US
Telephone Number : 843-232-8078
Fax Number : 843-232-0328
Provider Business Practice Location Address
First Line : 300 SINGLETON RIDGE RD
Second Line :
City : CONWAY
State : SC
Zip : 29526-9142
Country : US
Telephone Number : 843-347-8037
Fax Number : 843-520-8403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1609679786 — ALEC HINTON DO
Practice Location Address:
300 SINGLETON RIDGE RD
CONWAY, SC
29526-9142
Practice Phone: 843-234-7405
Practice Fax:
1427041284 — DR. DAVID MARK WILSON M.D.
Practice Location Address:
300 SINGLETON RIDGE RD
CONWAY, SC
29526-9142
Practice Phone: 843-347-7144
Practice Fax: 843-347-7331
1306834296 — JOHN E SCHRECENGOST MD
Practice Location Address:
300 SINGLETON RIDGE RD
CONWAY, SC
29526-9142
Practice Phone: 843-347-7144
Practice Fax: 843-347-7331
1265483903 — CLINICAL PATHOLOGY CONSULTANTS, PA
Practice Location Address:
300 SINGLETON RIDGE RD
CONWAY, SC
29526-9142
Practice Phone: 843-347-7144
Practice Fax: 843-347-7331
1467450643 — MS. KATHLEEN M CHANCE CRNA
Practice Location Address:
300 SINGLETON RIDGE RD
CONWAY, SC
29526-9142
Practice Phone: 843-234-5038
Practice Fax:
1437158870 — JORGE LUIS INFANTE M.D.
Practice Location Address:
300 SINGLETON RIDGE RD
CONWAY, SC
29526-9142
Practice Phone: 843-347-8015
Practice Fax:

Directions to “ GREGORY D HENDERSON CRNA” 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.