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Individual

HARLEY HENDRIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
159 W. RAILROAD STREET, PEMBROKE, GA 31321
(912) 653-2897
(912) 653-4299
Mailing address
836 E. 65TH STREET, SUITE 22, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3555

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82114
GA
207Q00000X
Family Medicine Physician
LL39508
SC

Other

Enumeration date
06/13/2016
Last updated
08/12/2019
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