Individual
MR. RICHARD HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5143 FOREST DR STE 200, COLUMBIA, SC 29206-4918
(803) 314-9120
(803) 314-9121
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 314-9120
(803) 314-9121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29272
SC
Other
Enumeration date
03/18/2024
Last updated
07/21/2025
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