Individual
LUIS MIGUEL HERNANDEZ COBIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E 66TH STREET, SAVANNAH, GA 31405-3140
(912) 662-0088
Mailing address
601 E 66TH ST, SAVANNAH, GA 31405-4519
(912) 662-0088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
96051
GA
390200000X
Student in an Organized Health Care Education/Training Program
12766
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12766
GEORGIA TRAINING PERMIT
GA
Enumeration date
11/27/2018
Last updated
09/24/2023
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