Gary I Hendricker, M.D.

NPI #1013930510 in Tallapoosa, Georgia

Provider Information

NPI Number: 1013930510
Entity Type: Individual
Name: Gary I Hendricker, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 25, 2006
Last Updated: Jun 22, 2010

Practice Location

Address: 25 W LYON ST
City: Tallapoosa
State: Georgia
ZIP Code: 30176-1288
Phone: (770) 824-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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