Provider Demographics
NPI:1538459987
Name:HENDERSON, ARTHUR WILLIAM III (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:WILLIAM
Last Name:HENDERSON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 BATTLE RUN DR
Mailing Address - Street 2:
Mailing Address - City:CATAWBA
Mailing Address - State:NC
Mailing Address - Zip Code:28609-8053
Mailing Address - Country:US
Mailing Address - Phone:828-241-1177
Mailing Address - Fax:
Practice Address - Street 1:12-11 SCRIBNER RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-4243
Practice Address - Country:US
Practice Address - Phone:201-791-6593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-00589207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine