Doctor Name: | MS. RANTI HERNANDEZ |
NPI Number: | 1245253632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0614007 |
Business Practice Address: | 860 Duluth Hwy 120 Lawrenceville, GA - 30043 |
Business Phone Number: | 6783777170 |
Business Fax Number: | 6783777170 |
Mailing Address: | 1536 River Main Ct, LAWRENCEVILLE |
State: | GA |
Postal Code: | 300454011 |
Phone Number: | 7702379867 |
Fax Number: | 7702379867 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0614007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |