Individual
LUZ ELENA HERNANDEZ VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1100 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-6012
(404) 721-8050
Mailing address
1100 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-6012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN272467
GA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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