Organization
ATLANTA HEART CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO E HERNANDEZ MD (CARDIOLOGIST)
(770) 704-1955
Entity
Organization
Contact information
Practice address
210 OAKSIDE LN, SUITE C, CANTON, GA 30114-6417
(770) 704-1955
(770) 720-2388
Mailing address
210 OAKSIDE LN, SUITE C, CANTON, GA 30114-6417
(770) 704-1955
(770) 720-2388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
050581
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK4374
RAILROAD MEDICARE
—
Enumeration date
11/21/2006
Last updated
05/12/2008
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