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Individual

DR. RALPH M HENDRIX JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
HIGHWAY 211 EAST, RED SPRINGS, NC 28377
(910) 843-4941
(910) 843-4872
Mailing address
PO BOX 631, RED SPRINGS, NC 28377-0631
(910) 843-4941
(910) 843-4872

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
864
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410038305
RAILROAD MEDICARE
NC
01
5809354
AETNA
NC
05
8906369
NC
01
9369
BCBS
NC
01
C6122
MEDCOST
NC
01
FH7000050
FIRST CAROLINA CARE
NC
Enumeration date
12/28/2006
Last updated
10/06/2008
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