Provider Demographics
NPI:1285657940
Name:HEDRICK, DAVID L (MA)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:HEDRICK
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Gender:M
Credentials:MA
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Mailing Address - Street 1:VA OUTPATIENT CLINIC - VIST 170V
Mailing Address - Street 2:190 KIMEL PARK DRIVE
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103
Mailing Address - Country:US
Mailing Address - Phone:336-768-3296
Mailing Address - Fax:336-760-5484
Practice Address - Street 1:190 KIMEL PARK DRIVE
Practice Address - Street 2:VA CLINIC VIST - 170V
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103
Practice Address - Country:US
Practice Address - Phone:336-768-3296
Practice Address - Fax:336-760-5484
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind