Individual
DR. WILLIAM HERNANDEZ-ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 NNPTC CIRCLE, GOOSE CREEK VA OUT PATIENT CLINIC, GOOSE CREEK, SC 29445
(843) 789-6400
Mailing address
110 NNPTC CIRCLE, GOOSE CREEK VA OUT PATIENT CLINIC, GOOSE CREEK, SC 29445
(843) 789-6400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12487
PR
Other
Enumeration date
08/05/2006
Last updated
03/01/2016
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