Individual
HECTOR RAFAEL FLORES-BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106
(770) 793-7899
Mailing address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 793-7899
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
82963
GA
390200000X
Student in an Organized Health Care Education/Training Program
31501
PR
Other
Enumeration date
11/20/2014
Last updated
10/29/2019
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