Healthcare Provider Details

I. General information

NPI: 1013982917
Provider Name (Legal Business Name): ANNE MARIE HENDRIX P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA SC
29203-8008
US

IV. Provider business mailing address

2601 ROSEWOOD DR
COLUMBIA SC
29205-3745
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-3800
  • Fax: 803-376-5885
Mailing address:
  • Phone: 803-782-4051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number102568
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2263
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2263
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: