Individual
MS. IRIS Z HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 544-4239
(706) 544-3950
Mailing address
8152 ORCHARD GLEN DR, MIDLAND, GA 31820-4271
(706) 561-7440
(706) 561-7440
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN158152
GA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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