Individual provider · Type 1 NPI
Joel Hernandez, PA-C
Surgical Physician Assistant · Douglas, GA
NPI number
1902202468
Active
Practice location
110 Shirley Ave
Douglas, GA 31533-2324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | 7412 (GA) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Douglas
About NPI 1902202468
Joel Hernandez, PA-C's National Provider Identifier is 1902202468, issued on Nov 11, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Douglas, GA. The record was last updated on Nov 11, 2014.