Individual
DR. JERRY ALLEN HEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1658 PLEASURE HOUSE RD, SUITE 104, VIRGINIA BEACH, VA 23455-4051
(757) 464-5300
(757) 464-5445
Mailing address
1658 PLEASURE HOUSE RD, SUITE 104, VIRGINIA BEACH, VA 23455-4051
(757) 464-5300
(757) 464-5445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555725
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037632
OPTIMA
VA
01
—
176572
ANTHEM
VA
01
—
JH1037632
ASHN
VA
Enumeration date
12/12/2006
Last updated
07/08/2007
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