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Individual

DR. CHARLES E HENDRIX, JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 WILLOW ST STE 202, VINCENNES, IN 47591-1029
(812) 885-0520
(812) 885-0517
Mailing address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 885-3325
(812) 885-8499

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01030371A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100154890
IN
01
118323
HEALTHLINK
IN
01
P00851310
RAILROAD MEDICARE
IN
Enumeration date
05/17/2006
Last updated
10/05/2021
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