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Individual

DR. VERNON J HENDRIX III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4000
Mailing address
6000 LAKE FORREST DR NW, SUITE 475, ATLANTA, GA 30328-3824
(404) 459-8440

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33837
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000668676Q
GA
01
P00990770
RR MEDICARE
GA
Enumeration date
11/16/2005
Last updated
04/26/2012
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