Provider Demographics
NPI:1750547600
Name:HENDLEY, PAUL F JR (RVT)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:F
Last Name:HENDLEY
Suffix:JR
Gender:M
Credentials:RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 W 3RD AVE STE 510
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1959
Mailing Address - Country:US
Mailing Address - Phone:229-886-5972
Mailing Address - Fax:
Practice Address - Street 1:425 W 3RD AVE STE 510
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1959
Practice Address - Country:US
Practice Address - Phone:229-886-5972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography