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Individual

YITZCHAK HERMONI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 BALD RIDGE MARINA RD, CUMMING, GA 30041-8494
(770) 886-0003
(770) 886-5030
Mailing address
1200 BALD RIDGE MARINA RD, CUMMING, GA 30041-8494
(770) 886-0003
(770) 886-5030

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
033352
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00446025E
GA
01
02500011
UNITED HEALTHCARE
01
1396339-005
CIGNA
01
545418
BLUE CROSS BLUE SHIELD
01
5994428
AETNA
01
686997
BCBS OF ALABAMA
Enumeration date
05/24/2006
Last updated
07/08/2007
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