Individual
MRS. ELIZABETH LORENA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGEMENT
Contact information
Practice address
4185 SUMMIT GATE DR, SUWANEE, GA 30024-6491
(404) 578-1843
(678) 714-1753
Mailing address
4185 SUMMIT GATE DR, SUWANEE, GA 30024-6491
(404) 578-1843
(678) 714-1753
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00957602A
—
GA
Enumeration date
12/05/2006
Last updated
07/09/2007
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