Dr. Everett Randall Henderson Iii
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Everett Randall Henderson Iii, M.D. is a Hattiesburg, Mississippi based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Everett Randall Henderson Iii is
6051 U S Highway 49, Hattiesburg, Mississippi - 39401-7200. He can be contacted on phone at
601-288-3440 and fax number 601-288-3451.
Dr. Everett Randall Henderson Iii is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Everett Randall Henderson Iii is
1609904515 which was assigned by NPPES on 01 Mar, 2007 and it was last updated on 08 Jul, 2007.
Dr. Everett Randall Henderson Iii license number is
14669 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Mississippi.
Dr. Everett Randall Henderson Iii is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Everett Randall Henderson Iii basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Everett Randall Henderson Iii |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Everett Randall Henderson Iii address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6051 U S Highway 49
Hattiesburg, MS, 39401-7200
United States |
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| Phone Number : | 601-288-3440 |
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| Fax Number : | 601-288-3451 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609904515 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Mar, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Everett Randall Henderson Iii are as mentioned. Primary taxonomy code for Dr. Everett Randall Henderson Iii, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 14669 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Everett Randall Henderson Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0117106 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1108 Oakleigh Dr
Hattiesburg, MS, 39402-3068
United States |
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| Phone Number : | 601-288-3440 |
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| Fax Number : | 601-288-3451 |
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Business Location:
Patients can refer following map for directions to
Dr. Everett Randall Henderson Iii practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.