Organization
EAST POINT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL ANGEL HERNANDEZ (DIRECTOR)
(404) 209-1408
Entity
Organization
Contact information
Practice address
1203 CLEVELAND AVE, SUITE A, EAST POINT, GA 30344-3417
(404) 209-1408
(404) 209-1411
Mailing address
1203 CLEVELAND AVE, SUITE A, EAST POINT, GA 30344-3417
(404) 209-1408
(404) 209-1411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022351
GA
Other
Enumeration date
06/13/2010
Last updated
06/13/2010
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