Individual
DR. STEPHEN GREGORY HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
023459
GA
207RP1001X
Pulmonary Disease Physician
023459
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000251512H
—
GA
01
—
408552
BCBS
GA
05
—
G23459
—
SC
Enumeration date
07/14/2005
Last updated
08/05/2011
Update your record
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