# DR. CAROLYNN SUE HENDRICKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134287519
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIR002952 | GA | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1040907 | BCBS - ASHN PROVIDER ID \# | GA |
| 01 | — | 2057186 | AETNA HMO PROVIDER ID \# | GA |
| 01 | — | 4413651 | AETNA PPO PROVIDER ID \# | GA |
| 01 | — | 664620 | UHC - ACN PROVIDER ID \# | GA |