Individual
DR. ERNEST LEE HENDRIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 SANDERS ST, ATHENS, AL 35611-2418
(256) 230-1116
(256) 230-1156
Mailing address
108 SANDERS ST STE D, ATHENS, AL 35611-2473
(256) 230-1116
(256) 230-1156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16454
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933705
—
AL
01
—
1749176
FIRST HEALTH PROVIDER NUM
AL
01
—
4034620
AETNA PROVIDER NUMBER
AL
01
—
51518076
BLUE CROSS PROVIDER NUMBE
AL
Enumeration date
08/29/2005
Last updated
02/13/2020
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