| Hendricks Family Practice, Pc | |
|
2699 Sandlin Rd Sw Suite B-8 Decatur AL 35601-7343 | |
| (256) 301-0560 | |
| (256) 301-0563 |
| Full Name | Hendricks Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2699 Sandlin Rd Sw, Decatur, Alabama |
| Authorized Official Name and Position | Malcolm R Hendricks (CO-OWNER/PHYSICIAN) |
| Authorized Official Contact | 2563010560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hendricks Family Practice, Pc 2699 Sandlin Rd Sw Suite B-8 Decatur AL 35601-7343 Ph: (256) 301-0560 | Hendricks Family Practice, Pc 2699 Sandlin Rd Sw Suite B-8 Decatur AL 35601-7343 Ph: (256) 301-0560 |
| NPI Number | 1568419810 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568419810 | NPI | - | NPPES |
| 102364 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26531 (Alabama) | Primary |
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