Provider Demographics
NPI:1417091034
Name:HENRY, MARGARET PIKE
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:PIKE
Last Name:HENRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5034
Mailing Address - Country:US
Mailing Address - Phone:336-229-4832
Mailing Address - Fax:
Practice Address - Street 1:496 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5034
Practice Address - Country:US
Practice Address - Phone:336-229-4832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300168KMedicare ID - Type Unspecified