Provider Demographics
NPI:1255414074
Name:HENDERSON AND DARNELL ASSOCIATES
Entity type:Organization
Organization Name:HENDERSON AND DARNELL ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PARADISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-723-4245
Mailing Address - Street 1:PO BOX 469
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:AL
Mailing Address - Zip Code:35760-0469
Mailing Address - Country:US
Mailing Address - Phone:256-723-4245
Mailing Address - Fax:256-723-4245
Practice Address - Street 1:5398 MAIN DR
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:AL
Practice Address - Zip Code:35760
Practice Address - Country:US
Practice Address - Phone:256-723-4245
Practice Address - Fax:256-723-4245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty