Provider Demographics
NPI:1306039730
Name:HENDRIX, PAUL WINGER (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:WINGER
Last Name:HENDRIX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P O BOX 741030
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-1030
Mailing Address - Country:US
Mailing Address - Phone:804-560-5837
Mailing Address - Fax:
Practice Address - Street 1:1401 JOHNSTON WILLIS DR STE 5500
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4730
Practice Address - Country:US
Practice Address - Phone:804-560-5827
Practice Address - Fax:804-560-5845
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA102202525207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology