Individual
JOHN HAMPTON HENDRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2180 HENRY TECKLENBURG DR, CHARLESTON, SC 29414
(843) 556-8886
(843) 556-8850
Mailing address
2180 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5798
(438) 556-8886
(843) 556-8850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA709
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01048436
RR MEDICARE
—
Enumeration date
04/08/2006
Last updated
08/26/2019
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