Provider Demographics
NPI:1871752907
Name:HERNANDEZ SILEN, ANA MARGARITA (MD)
Entity type:Individual
Prefix:
First Name:ANA MARGARITA
Middle Name:
Last Name:HERNANDEZ SILEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2650
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31793-2650
Mailing Address - Country:US
Mailing Address - Phone:229-391-4130
Mailing Address - Fax:229-391-4138
Practice Address - Street 1:1493 KENNEDY RD STE A
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-4178
Practice Address - Country:US
Practice Address - Phone:229-391-4130
Practice Address - Fax:229-391-4138
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA76054207V00000X, 207V00000X
CT52668207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008049217Medicaid
GA003176970AMedicaid
GA202I166101Medicare PIN
GA003176970AMedicaid