Hernandez, Ernesto E

Hernandez, Ernesto E is an individual health care provider with primary practice located at 687 Marietta Hwy Suite 102, Canton GA 30114-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hernandez, Ernesto E can be contacted via phone (770) 704-1955.

Contact Information

Primary practice address
687 Marietta Hwy Suite 102 Canton GA 30114-2608
Phone: (770) 704-1955
Fax: (770) 720-2388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 050581 Georgia

Profile Details

NPI number 1164448098
LBN Legal business name Hernandez, Ernesto E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164448098 NPPES
Georgia MEDICAID 000940387D
Georgia MEDICAID 000940387F
Georgia MEDICAID 000940387H
Georgia MEDICAID 000940387E

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