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Contact Information

ANTONIO HENDERSON SR
487 BELLS HWY STE A
WALTERBORO, SC29488-5740
 Phone: 843-782-3073
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
 

Driver

172A00000X
Indicates primary specialty

NPI Profile & details for ANTONIO HENDERSON SR · (Male)

NPI Number 1861198475
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2023
Last updated 06/27/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 10017
Hospital affiliation(s) Not Available
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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