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Contact Information

JESSICA GONZALEZ HERNANDEZ, MD
CAROLINA SURGICAL ASSOCIATES EASTSIDE
135 COMMONWEALTH DRIVE STE 210
GREENVILLE, SC29615-4850
 Phone: 864-675-4815
 Fax: 877-893-3779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JESSICA GONZALEZ HERNANDEZ · (Female)

NPI Number 1962792580
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2011
Last updated 02/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 61156
  • SC Medicaid 611564
Hospital affiliation(s)
  • ST FRANCIS-DOWNTOWN - (Acute Care)
    ONE ST FRANCIS DR
    GREENVILLE, SC 29601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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