Individual
DR. PAUL MEREDITH HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 WALNUT GROVE CHURCH RD, DAYTON, TN 37321-6104
(423) 775-6668
(423) 775-1054
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 308-0280
(423) 308-0281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25018
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000735743A
—
GA
05
—
1516282
—
TN
Enumeration date
07/05/2006
Last updated
02/23/2022
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