Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSE MIRA HERNANDEZ, M.D.
ActiveAnatomic Pathology & Clinical Pathology · BRUNSWICK, GA
Registration Details
- NPI Number
- 1497739130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2005 (20.41781397816 yrs)
- Last Updated
- Apr 29, 2008
- License
-
052133 (GA)
Practice Information
- Address
-
3011 HAMPTON AVEBRUNSWICK, GA, 315204264Browse GA providers · Browse ZIP 31520
- Phone
- 9122612669
- Fax
- 9122610561
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
Other Anatomic Pathology & Clinical Pathology Providers in BRUNSWICK, GA
| Name | Credential | NPI |
|---|---|---|
| MARIAN FRANCES PENNINGTON | M.D. | 1770576423 |
| PATRICK E GODBEY | M.D. | 1619951332 |
| MARK G HANLY | MBCHB, FRCPATHLOND | 1619951258 |
| ROSE P DRAVIAM | M. D. | 1205810884 |
| CAROLYN KINZER-BEZANSON WALL | M.D. | 1124002712 |
| ROGER B LANE JR. | M.D. | 1639154834 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.