Individual
DR. JAY M HENDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2544 COURT DR, SUITE D, GASTONIA, NC 28054-3450
(980) 834-5864
(704) 864-0288
Mailing address
PO BOX 531797, ATLANTA, GA 30353-1797
(704) 834-2450
(704) 671-5308
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34036
NC
207RP1001X
Pulmonary Disease Physician
Primary
34036
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467412171
—
NC
05
—
N34036
—
SC
Enumeration date
03/25/2006
Last updated
01/31/2017
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