Bruce Herrington Md Pc

NPI 1013275031 - Internal Medicine - 207R00000X

NPI Details
NPI 1013275031
Enumeration Date 04/27/2012
Last Updated 04/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RONALD BRUCE RONALD
Position MD
Phone (229) 482-2993
Fax (229) 482-2998
Practice Location
116 W THIGPEN AVE
STE B
LAKELAND GA, 31635-1011, US
Phone (229) 482-2993
Fax (229) 482-2998
Business Location
116 W THIGPEN AVE
STE B
LAKELAND GA, 31635-1011, US
Phone (229) 482-2993
Fax (229) 482-2998
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 046118
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According to our database, Bruce Herrington Md Pc NPI is 1013275031, taxonomy code is 207R00000X and license number is 046118, license state is located at Georgia. Bruce Herrington Md Pc physically located at 116 W Thigpen Ave, Lakeland GA, 31635-1011. NPI Number 1033115704 has the healthcare provider type.

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1013275031 NPI number is provided on an as is basis without warranty of any kind. 1013275031 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Herrington Md Pc are for informational purposes only.