Individual
DR. GABRIEL ANTONIO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
(601) 815-0434
Mailing address
2500 N. STATE STREET, CBO - SUITE 4200, JACKSON, MS 39216-4500
(601) 984-1000
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26852
MS
Other
Enumeration date
06/20/2011
Last updated
09/19/2019
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