IndividualActive
Alicia Henderson
NPI 1013768936 · Home Modifications Contractor · Unadilla, GA
Provider details
- NPI number
- 1013768936
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 99-2203499 (GA)
Specialties & taxonomies
Other Service Providers
Practice location
263 Bogan St
Unadilla, GA 31091-3798
Phone: (478) 235-9885
Approximate (ZIP-level) locationGet directions
Mailing address
263 Bogan St
Unadilla, GA 31091-3798
Registry dates
- Enumerated
- 2024-03-28
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.