Individual
SEAN MICHAEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WAKE FOREST SCHOOL OF MEDICINE MEDICAL BLVD, WATLINGTON HALL, 3RD FLOOR, WINSTON SALEM, NC 27157-0001
(336) 716-4305
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019-01654
NC
Other
Enumeration date
03/30/2016
Last updated
07/30/2019
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