JOSE MIRA HERNANDEZ

BRUNSWICK, GA
NPI1497739130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: GA  052133)
Enumeration Date2005-12-06
Last Update Date2008-04-29
Business Address
-- JOSE MIRA HERNANDEZ M.D.
3011 HAMPTON AVE
BRUNSWICK, GA 31520-4264
Phone number: 912-261-2669
Mailing Address
-- JOSE MIRA HERNANDEZ M.D.
PO BOX 30309
CHARLESTON, SC 29417-0309
Phone number: 843-554-9300
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