Gary I Hendricker, MD is a
Internal Medicine physician based in Tallapoosa, Georgia. Gary I Hendricker is licensed to practice in Georgia (license number 029670) and his current practice location is 25 W Lyon St, Tallapoosa, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 824-2800.
NPI number for Gary I Hendricker is 1013930510 and his current mailing address is 119 Ambulance Dr, Suite 202, Carrollton, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013930510.
Physician's Profile
| Full Name | Gary I Hendricker |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 25 W Lyon St, Tallapoosa, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013930510
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 06/22/2010
Medical Identifiers
Medical identifiers for Gary I Hendricker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013930510 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 029670 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary I Hendricker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gary I Hendricker, MD
119 Ambulance Dr, Suite 202,
Carrollton, GA 30117-3857
Ph: (770) 838-8710 | Gary I Hendricker, MD
25 W Lyon St,
Tallapoosa, GA 30176-1288
Ph: (770) 824-2800 |
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