Individual
ASHLEE LYNN HENDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1146 EVELYN GANDY PKWY, PETAL, MS 39465-3947
(601) 584-4309
(601) 584-4890
Mailing address
1146 EVELYN GANDY PKWY, PETAL, MS 39465-3947
(601) 584-4309
(601) 584-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27968
MS
207Q00000X
Family Medicine Physician
3173
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27968
MS MEDICAL LICENSE
MS
Enumeration date
04/30/2015
Last updated
01/06/2022
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