Individual
DR. SYDNEY LANCE HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 PEACHTREE ST, JESUP, GA 31545-0245
(912) 530-6582
(912) 530-6584
Mailing address
351 PEACHTREE ST, JESUP, GA 31545-0245
(912) 530-6582
(912) 530-6584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
GA056459
GA
207R00000X
Internal Medicine Physician
ME88508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189166661B
—
GA
01
—
966221
BLUE CROSS BLUE SHIELD GA
GA
01
—
P00402900
RAILROAD MEDICARE PTAN (GROUP)
GA
Enumeration date
11/08/2006
Last updated
11/07/2025
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