person
Johan Hernandez, MD
Family Medicine Physician in Columbia, South Carolina
NPI 1669596789

Johan Hernandez is a Family Medicine Physician based in Atlanta, SC. Johan Hernandez practices in Columbia, SC and has the professional credentials of MD. The NPI Number for Johan Hernandez is 1669596789 and holds a License No. 29031 (South Carolina).

The current practice location address for Johan Hernandez is 3600 Forest Dr Ste 300, Columbia, SC and can be reached out via phone at 803-749-5101 and via fax at 803-933-3045.

Location: 3600 Forest Dr Ste 300, Columbia, SC, 30374-3904
person
Provider Profile Details
NPI Number
1669596789
Provider Name
Johan Hernandez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3600 Forest Dr Ste 300, Columbia, SC, 30374-3904
Phone Number
803-749-5101
Fax Number
803-933-3045
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AA38422353 01 SC MEDICARE PTAN
290312 05 SC
institution
Provider Business Practice Location Address Details
Address
3600 Forest Dr Ste 300
City
State
Zip
29204-4057
Phone Number
803-749-5101
Fax Number
803-933-3045
person
Provider Business Mailing Address Details
Address
3600 Forest Dr Ste 300
City
State
Zip
29204-4057
Phone Number
803-749-5101
Fax Number
803-933-3045
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
29031 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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