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Individual

DR. JOHN C HENDRIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1722 PINE ST, SUITE 402, MONTGOMERY, AL 36106-1103
(334) 834-3059
(334) 834-4260
Mailing address
1722 PINE ST, SUITE 402, MONTGOMERY, AL 36106-1103
(334) 834-3059
(334) 834-4260

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9539
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51010319
BLUE CROSS BLUE SHIELD
AL
05
528200530
AL
Enumeration date
08/28/2006
Last updated
04/23/2012
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