Individual
JOSE A HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5604
(912) 435-6819
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5604
(912) 435-6819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301060844
MI
Other
Enumeration date
02/09/2006
Last updated
08/11/2011
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