Individual
HARVEY HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4625 SADDLE GATE LN, ACWORTH, GA 30101-5286
(770) 529-0928
(770) 529-0928
Mailing address
4625 SADDLE GATE LANE, ACWORTH, GA 30101
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
032135-02
GA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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