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1669596789
JOHAN HERNANDEZ
COLUMBIA, SC
NPI
1669596789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 29031)
Enumeration Date
2007-03-16
Last Update Date
2020-07-13
Business Address
JOHAN HERNANDEZ M.D.
3600 FOREST DR STE 300
COLUMBIA, SC 29204-4057
Phone number: 803-749-5101
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Mailing Address
JOHAN HERNANDEZ M.D.
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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