Provider Demographics
NPI:1821380189
Name:HENDERSON, EDWARD MONEY (DO)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:MONEY
Last Name:HENDERSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13821 VILLAGE MILL DR STE A
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-4314
Mailing Address - Country:US
Mailing Address - Phone:804-794-2821
Mailing Address - Fax:
Practice Address - Street 1:13821 VILLAGE MILL DR STE A
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-4314
Practice Address - Country:US
Practice Address - Phone:804-794-2821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102203647208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics