Hendricks, Mary Beth M

Hendricks, Mary Beth M is an individual health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605-4210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Hendricks, Mary Beth M can be contacted via phone (864) 455-4411.

Contact Information

Primary practice address
701 Grove Rd Fl 5 Greenville SC 29605-4210
Phone: (864) 455-4411
Fax: (864) 455-4480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X APN950 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 950 South Carolina

Profile Details

NPI number 1336194844
LBN Legal business name Hendricks, Mary Beth M
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 25th, 2021 - about 3 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 1336194844 NPPES
South Carolina MEDICAID NP0058

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