Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paul Keith Henderson, CSFA

Individual provider Surgical Technologist · NPI 1821874470

Paul Keith Henderson, CSFA is a Surgical Technologist in Rincon, Georgia. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

101 Lord Effingham Dr
Rincon, GA 31326-5017
Phone: (912) 656-1908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X
Surgical Technologist Taxonomy 246ZS0410X

Record details

NPI number1821874470
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedSeptember 7, 2023
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address101 Lord Effingham Dr, Rincon, GA 31326-5017