Gary I Hendricker M.D.

NPI 1013930510 - Internal Medicine - 207R00000X

NPI Details
NPI 1013930510
Gender Male
Enumeration Date 07/25/2006
Last Updated 06/22/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
25 W LYON ST
TALLAPOOSA GA, 30176-1288, US
Phone (770) 824-2800
Fax (770) 824-2810
Business Location
119 AMBULANCE DR
SUITE 202
CARROLLTON GA, 30117-3857, US
Phone (770) 838-8710
Fax (770) 838-8563
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 029670
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According to our database, Gary I Hendricker M.D. NPI is 1013930510, taxonomy code is 207R00000X and license number is 029670, license state is located at Georgia. Gary I Hendricker M.D. physically located at 25 W Lyon St, Tallapoosa GA, 30176-1288. NPI Number Gary I Hendricker M.D. has the Individual type.

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1013930510 NPI number is provided on an as is basis without warranty of any kind. 1013930510 is maintained by the National Plan & Provider Enumeration System. The contents of Gary I Hendricker M.D. are for informational purposes only.