Provider Demographics
NPI:1396911517
Name:HENDLEY, JIMMY FRANKLIN JR
Entity type:Individual
Prefix:MR
First Name:JIMMY
Middle Name:FRANKLIN
Last Name:HENDLEY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HAY ST
Mailing Address - Street 2:SUITE 802
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5665
Mailing Address - Country:US
Mailing Address - Phone:910-485-0041
Mailing Address - Fax:910-485-0071
Practice Address - Street 1:100 HAY ST
Practice Address - Street 2:SUITE 802
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5665
Practice Address - Country:US
Practice Address - Phone:910-485-0041
Practice Address - Fax:910-485-0071
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty