Fernandez, Enrique J.

Fernandez, Enrique J. is an individual health care provider with primary practice located at 2500 Starling St Ste 501 , Brunswick GA 31520-4270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Fernandez, Enrique J. can be contacted via phone (912) 466-5503.

Contact Information

Primary practice address
2500 Starling St Ste 501 Brunswick GA 31520-4270
Phone: (912) 466-5503
Fax: (912) 466-5553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 036152 Georgia

Profile Details

NPI number 1912978065
LBN Legal business name Fernandez, Enrique J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912978065 NPPES
Georgia MEDICAID 000518647J
Georgia MEDICAID #000518647J

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