Provider Demographics
NPI:1164818092
Name:HERNANDEZ, ALFONSO CLAUDIO (MD, MPH)
Entity Type:Individual
Prefix:
First Name:ALFONSO
Middle Name:CLAUDIO
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5673 PEACHTREE DUNWOODY RD STE 330
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-5023
Mailing Address - Country:US
Mailing Address - Phone:404-459-0002
Mailing Address - Fax:404-459-0003
Practice Address - Street 1:5673 PEACHTREE DUNWOODY RD STE 330
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-5023
Practice Address - Country:US
Practice Address - Phone:404-459-0002
Practice Address - Fax:404-459-0003
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
GA78368207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program