Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELMAN OTNIEL GONZALES HERNANDEZ, PA
ActiveELMAN OTNIEL GONZALES HERNANDEZ, PA is a Medical Physician Assistant healthcare provider located in AUSTELL, Georgia. NPI 1770273385 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · AUSTELL, GA
Registration Details
- NPI Number
- 1770273385
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2023 (3.2295577456632 yrs)
- Last Updated
- May 6, 2025
- License
-
12891 (GA)
Practice Information
- Address
-
2615 E WEST CONNECTOR STE 106AUSTELL, GA, 301066854Browse GA providers · Browse ZIP 30106
- Phone
- 7709410010
- Fax
- 7709410154
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in AUSTELL, GA
| Name | Credential | NPI |
|---|---|---|
| MR. FRANK HACHMUTH | PHYSICIAN ASSISTANT | 1386635902 |
| MS. RAQUEL M DECAMP | PA-C | 1215913512 |
| MRS. ALISON LEIGH OSBORN FUGARO | PA | 1841253903 |
| SYLVONNE KENYATTA COX | PA-C | 1992863385 |
| PATRICK DEROUEN | PA-C | 1184781999 |
| STACEY K MUTZ | PA-C | 1588721393 |
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.