Individual provider · NPI-1

Rick J Hernandez, M.D.

Family Medicine · Southport, NC

NPI number1437351806
StatusActive
Last updated in NPPESNov 5, 2014

Details

NPI
1437351806
Entity type
Individual (NPI-1)
Name
Rick J Hernandez
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 5, 2007
Last updated
Nov 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2008-01465NCYes

Practice location

3960 Executive Park Blvd
Suite 600
Southport, NC 28461-8184

Phone 910-454-4343 · Fax 910-457-9209

Mailing address

3960 Executive Park Blvd
Suite 600
Southport, NC 28461-8184

Phone 910-454-4343 · Fax 910-457-9209

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