Individual
KRISTIE HENDRIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 CHURCH STREET, STATESBORO, GA 30458
(912) 541-3347
Mailing address
215 CHURCH STREET, STATESBORO, GA 30458
(912) 541-3347
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPN060849
GA
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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