Individual
CHARLES MARK HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
112 NORTH MAIN, ASHLAND CITY, TN 37015
(615) 792-5112
(615) 792-5165
Mailing address
112 NORTH MAIN, ASHLAND CITY, TN 37015
(615) 792-5112
(615) 792-5165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TN1729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3971523
—
TN
Enumeration date
08/31/2006
Last updated
12/21/2011
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