Hendricks, Paul Meredith

Hendricks, Paul Meredith is an individual health care provider with primary practice located at 163 Walnut Grove Church Rd , Dayton TN 37321-6104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hendricks, Paul Meredith can be contacted via phone (423) 775-6668.

Contact Information

Primary practice address
163 Walnut Grove Church Rd Dayton TN 37321-6104
Phone: (423) 775-6668
Fax: (423) 775-1054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25018 Tennessee

Profile Details

NPI number 1225069503
LBN Legal business name Hendricks, Paul Meredith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225069503 NPPES
Georgia MEDICAID 000735743A
Georgia MEDICAID 1516282

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