Individual
DR. JOE D HENDRIX SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1557 CAROLINA AVE, ORANGEBURG, SC 29115
(803) 533-7464
(803) 533-7435
Mailing address
1557 CAROLINA AVE, ORANGEBURG, SC 29115
(803) 533-7464
(803) 533-7435
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
21365
SC
2084P0800X
Psychiatry Physician
Primary
21365
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213655
—
SC
Enumeration date
05/05/2006
Last updated
10/09/2007
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