Individual
AMY N. HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5082
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5381
(740) 446-5082
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2384
WV
207V00000X
Obstetrics & Gynecology Physician
Primary
34.010204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000432605
OHIO MEDICAID UNISON
OH
01
—
0050884
OHIO MEDICAID MOLINA
OH
05
—
0050884
—
OH
05
—
10122071
—
WV
01
—
310917085257
OHIO MEDICAID CARESOURCE
OH
Enumeration date
07/23/2007
Last updated
01/21/2021
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