Individual
MR. MARK ANTHONY HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3150 HIGHWAY 153, PIEDMONT, SC 29673-9498
(864) 295-1211
Mailing address
3150 HIGHWAY 153, PIEDMONT, SC 29673-9498
(864) 295-1211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19294
SC
Other
Enumeration date
02/05/2015
Last updated
09/07/2021
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