Hernandez, Antonio
Hernandez, Antonio is an individual health care provider with primary practice located at 100 Springhall Dr , Goose Creek SC 29445-5335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hernandez, Antonio can be contacted via phone (843) 572-8201.Contact Information
Primary practice address
100 Springhall Dr
Goose Creek SC 29445-5335
Phone: (843) 572-8201
Fax: (843) 797-8491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29572 | South Carolina |
Profile Details
| NPI number | 1871577460 |
|---|---|
| LBN Legal business name | Hernandez, Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871577460 | NPPES |
| South Carolina | MEDICAID | 295727 |
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