Organization
GUILLERMO HERNANDEZ MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO HERNANDEZ MD (SOLE MBR)
(601) 453-5366
Entity
Organization
Contact information
Practice address
5000 HIGHWAY 39 N, MERIDIAN, MS 39301-1021
(601) 453-5366
(601) 581-9936
Mailing address
PO BOX 235, MARION, MS 39342-0235
(601) 453-5366
(601) 581-9936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12382
MS
Other
Enumeration date
09/29/2012
Last updated
09/29/2012
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