MR. John Mark Hendricks JR.

NPI #1649096132 in Newton, Georgia

Provider Information

NPI Number: 1649096132
Entity Type: Individual
Name: MR. John Mark Hendricks JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Nov 29, 2024
Last Updated: Nov 29, 2024

Practice Location

Address: PO BOX 64
City: Newton
State: Georgia
ZIP Code: 39870-0064
Phone: (229) 328-7268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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