Individual
LOUIS R FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 TRAVELERS PT, TOCCOA, GA 30577-9169
(706) 988-9300
Mailing address
111 TRAVELERS PT, TOCCOA, GA 30577-9169
(706) 988-9300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39790
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000760394BCD
—
GA
Enumeration date
08/24/2005
Last updated
03/21/2023
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