Individual
DR. JOSE RUBEN HERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(500) 080-3641
Mailing address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(803) 641-5275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MMD90074LL
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMD90074LL
SOUTH CAROLINA MEDICAL LICENSE
SC
Enumeration date
04/05/2023
Last updated
06/22/2023
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