MARK J HENSON DPM PC
Medical Practice at 8 St, Griffin, GA

License number
Georgia POD000897
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: MARK HENSON
Title: OWNER
Phone: (770) 228-6644
Address
Address
730 S 8Th St, Griffin, GA 30224
National Provider ID: 1649452632
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK J. HENSON, DPM, PC

730 S 8 St, Griffin, GA 30224

Registration:
May 30, 2000
State ID:
0024973
Business type:
Domestic Professional Corporation
Secretary:
J. Mark Henson (Secretary), 730 S 8 St, Griffin, GA 30224 (Physical)
Agent:
Russell P. Love, Esq,303 Peachtree St, Atlanta, GA (Physical)

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