Individual
STEVEN C HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E WENDOVER AVE, SUITE 411, GREENSBORO, NC 27401-1230
(336) 832-3200
(336) 832-3201
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-3200
(336) 832-3201
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
95-00092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1136C
BCBS
NC
01
—
1807390
UHC
NC
01
—
780001236
RR MCR
NC
01
—
80199
MEDCOST
NC
05
—
891136C
—
NC
Enumeration date
06/17/2005
Last updated
08/17/2021
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