Mark D. Herron, M.d. L.l.c.

NPI 1104897073 - Dermatology - 207N00000X

NPI Details
NPI 1104897073
Enumeration Date 01/30/2006
Last Updated 04/14/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MEREDITH MEREDITH
Position ADMINISTRATOR
Phone (334) 277-3332
Fax (334) 277-3522
Practice Location
7260 HALCYON SUMMIT DR
MONTGOMERY AL, 36117-7047, US
Phone (334) 277-3332
Fax (334) 277-3522
Business Location
7260 HALCYON SUMMIT DR
MONTGOMERY AL, 36117-7047, US
Phone (334) 277-3332
Fax (334) 277-3522
Toxanomy
Taxonomy Code 207N00000X
License State Alabama
License Number 21157
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According to our database, Mark D. Herron, M.d. L.l.c. NPI is 1104897073, taxonomy code is 207N00000X and license number is 21157, license state is located at Alabama. Mark D. Herron, M.d. L.l.c. physically located at 7260 Halcyon Summit Dr, Montgomery AL, 36117-7047. NPI Number 1033115704 has the healthcare provider type.

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1104897073 NPI number is provided on an as is basis without warranty of any kind. 1104897073 is maintained by the National Plan & Provider Enumeration System. The contents of Mark D. Herron, M.d. L.l.c. are for informational purposes only.