Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Terrell Henderson, PA-C

Individual provider Physician Assistant · NPI 1093487407

Stephanie Terrell Henderson, PA-C is a Physician Assistant in Peachtree City, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

313 Revolution Dr
Peachtree City, GA 30269-1086
Phone: (252) 342-5772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9474 (GA)

Record details

NPI number1093487407
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021

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