Gonzalez Hernandez, Jessica

Gonzalez Hernandez, Jessica is an individual health care provider with primary practice located at Carolina Surgical Associates Eastside 135 Commonwealth Drive Ste 210, Greenville SC 29615-4850. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Gonzalez Hernandez, Jessica can be contacted via phone (864) 675-4815.

Contact Information

Primary practice address
Carolina Surgical Associates Eastside 135 Commonwealth Drive Ste 210 Greenville SC 29615-4850
Phone: (864) 675-4815
Fax: (877) 893-3779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 61156 South Carolina

Profile Details

NPI number 1962792580
LBN Legal business name Gonzalez Hernandez, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2011
Last updated Feb 20th, 2019 - about 7 years ago

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 1962792580 NPPES
South Carolina MEDICAID 611564

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