Provider Demographics
NPI:1164581401
Name:STEVEN L HENSLEE MD
Entity Type:Organization
Organization Name:STEVEN L HENSLEE MD
Other - Org Name:HUBBARD HENSLEE CENTER FOR EYE SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENSLEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-324-4321
Mailing Address - Street 1:2012 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-1460
Mailing Address - Country:US
Mailing Address - Phone:706-324-4321
Mailing Address - Fax:706-324-4385
Practice Address - Street 1:2012 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1460
Practice Address - Country:US
Practice Address - Phone:706-324-4321
Practice Address - Fax:706-324-4385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6051Medicare ID - Type UnspecifiedGROUP NUMBER