Individual
DOUGLAS A. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2041 MESA VALLEY WAY STE 100, AUSTELL, GA 30106-6856
(770) 944-1100
Mailing address
2041 MESA VALLEY WAY STE 100, AUSTELL, GA 30106-6856
(770) 944-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11487
GA
Other
Enumeration date
05/03/2021
Last updated
03/08/2023
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