Edwin P Hendricks, Jr. DO
Organization Active NPI Family Medicine Physician · Demorest, GA
NPI 1992870190 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992870190
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 022153 (GA)
- Legal business name
- EDWIN P HENDRICKS, JR. DO
- Practice address
- 4020 Demorest Mount Airy Hwy
Demorest, GA 30535-5003 - Phone
- (706) 778-3259
- Fax
- (706) 776-8660
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Edwin Hendricks, Jr, D.O.
- Title
- Physician
- Phone
- (706) 778-3259
Practitioners 2
-
James G Hamilton Jr., M.D.
National Provider Directory
Locations
504 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-7016
4020 Demorest Mount Airy Hwy
Demorest, GA 30535
Phone (706) 778-3259
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 022153 | GA | Yes |
Addresses
Primary practice location
4020 Demorest Mount Airy Hwy
Demorest, GA 30535-5003
Mailing address
PO Box 669
Demorest, GA 30535-0669
Phone (706) 778-3259
Other names
- Demorest Family Medicine
Other providers in Demorest, GA
- Esther Dorzin
- Gisselle Duarte
- David Andrew Duncan
- Landon Wayne Duncan
- Leena Dutta
- Coleigh Elmore
- Norma J Engesser
- Joshua Estep
- Megan Kleinert Fairbairn
- Family Care Clayton, LLC
All providers in Demorest, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.