Individual
JOSE L. FERNANDEZ-GERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 EAGLES LANDING PARKWAY, SUITE 100, STOCKBRIDGE, GA 30281-9073
(770) 474-7287
(770) 389-3713
Mailing address
1040 EAGLES LANDING PARKWAY, SUITE 100, STOCKBRIDGE, GA 30281-9073
(770) 474-7287
(770) 389-3713
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
075622
GA
208600000X
Surgery Physician
4301099137
MI
Other
Enumeration date
06/30/2011
Last updated
07/30/2020
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