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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWIN PATTON HENDRICKS JR., D.O.

Active Sole Proprietor

DR. EDWIN PATTON HENDRICKS JR., D.O. is a Family Medicine healthcare provider located in DEMOREST, Georgia. NPI 1871592774 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · DEMOREST, GA

Registration Details

NPI Number
1871592774
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2005 (21.064055302036 yrs)
Last Updated
Apr 18, 2015
License
022153 (GA)
Sole Proprietor
Yes

Practice Information

Address
720 MAINE ST
DEMOREST, GA, 305355222
Browse GA providers · Browse ZIP 30535
Phone
7067783259
Fax
7067768660
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in DEMOREST, GA

Name Credential NPI
DR. JAMES G HAMILTON JR. M.D. 1346222742
DR. DONALD L FORDHAM M.D. 1477537470
DR. JOSHUA L GARRETT M.D. 1437174570
OWEN CURTIS BYERS M.D. 1992723928
DR. RAVIN BATUK TALATI M.D 1598920357
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.