Individual
DR. RONNIE EUGENE HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4835 SUGARLOAF PKWY, SUITE # 200, LAWRENCEVILLE, GA 30044-6912
(470) 375-5940
(800) 513-4431
Mailing address
4835 SUGARLOAF PKWY, SUITE # 200, LAWRENCEVILLE, GA 30044-6912
(470) 375-5940
(800) 513-4431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
024690
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000289803J
—
GA
05
—
000289803M
—
GA
05
—
009923265
—
SC
01
—
930108548
RAILROAD MEDICARE
—
Enumeration date
08/10/2006
Last updated
06/11/2019
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