Individual
ELAIME HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-2770
(404) 712-2000
Mailing address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1013
(404) 616-4671
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002866
GA
152W00000X
Optometrist
TUV008164-1
NY
Other
Enumeration date
05/27/2014
Last updated
06/09/2022
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