Organization
ALEJANDRO F. PERNETT, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO F PERNETT M.D. (OWNER)
(912) 379-9380
Entity
Organization
Contact information
Practice address
9 HESTER ST, HAZLEHURST, GA 31539-6323
(912) 379-9380
(912) 379-9382
Mailing address
9 HESTER ST, HAZLEHURST, GA 31539-6323
(912) 379-9380
(912) 379-9382
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
029928
GA
208D00000X
General Practice Physician
029928
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00379431Q
—
GA
01
—
10037432
AMERIGROUP
GA
01
—
336264
WELLCARE
GA
01
—
369975
WELLCARE
—
Enumeration date
12/12/2007
Last updated
12/12/2007
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