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Contact Information

JUSTINE E HENAO, DO
1200 NORTHSIDE FORSYTH DR
CUMMING, GA30041-7659
 Phone: 770-844-3200
 Fax: 404-851-6325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for JUSTINE E HENAO · (Female)

NPI # 1902808645
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/12/2005
Last updated 08/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 052580
  • TX License # U5861
  • GA Medicaid 608048816A
  • GA Other 52703489 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • AMERICAN LEGION HOSPITAL - (Acute Care)
    1305 CROWLEY RAYNE HIGHWAY
    CROWLEY, LA 70526
  • AMERICAN LEGION HOSPITAL - (Acute Care)
    1305 CROWLEY RAYNE HIGHWAY
    CROWLEY, LA 70526
  • IBERIA GENERAL HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2315 E MAIN STREET
    NEW IBERIA, LA 70562
  • IBERIA GENERAL HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2315 E MAIN STREET
    NEW IBERIA, LA 70562
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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