Individual
JUAN LUIS GUILLEN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4378
(252) 847-9943
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2020-00938
NC
2080P0203X
Pediatric Critical Care Medicine Physician
57.030437
OH
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
10/30/2014
Last updated
02/13/2024
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