Individual
DR. EDWARD HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-3641
Mailing address
8933 NEWGARD CT, CHARLOTTE, NC 28269-8984
(305) 962-1415
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024-01054
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2017
Last updated
06/05/2024
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