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Individual

MS. LESLIE H HENDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
185 SCOGGINS DR, DEMOREST, GA 30535-5355
(706) 778-7156
(706) 776-7694
Mailing address
450 MAGIC MOUNTAIN LN, CLARKESVILLE, GA 30523-2304
(706) 754-5960

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN159794
GA

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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