NPI 1811043318

Harvey Hendricks

Practitioner Surgical Technologist Acworth, GA

Practice location

Address: 4625 Saddle Gate Ln, Acworth, GA 30101-5286
Phone: (770) 529-0928
Fax: (770) 529-0928
Mailing address: 4625 Saddle Gate Lane, Acworth, GA 30101

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 032135-02 (GA)

Other Specialist/Technologist, Other providers in Georgia →

Registry record

NPI: 1811043318
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.