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Individual

CARLOS HERNAIZ ALONSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAA

Contact information

Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
575 EMORY OAKS WAY, DECATUR, GA 30033-5369
(954) 682-1183

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
12068
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/25/2023
Last updated
01/23/2024
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