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NPI Code Detail

MEDICARE: FRANCISCO J HERRAN MD

MEDICARE:   FRANCISCO J HERRAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME69419FL
2208000000XPediatrics Physician057179GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1057179OTHERGAGA LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326048992
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCISCO J HERRAN MD
Provider Business Mailing Address
First Line : PO BOX 668
Second Line :
City : POOLER
State : GA
Zip : 31322
Country : US
Telephone Number : 912-748-4527
Fax Number : 912-748-9016
Provider Business Practice Location Address
First Line : 143 CANAL STREET
Second Line : SUITE 200
City : POOLER
State : GA
Zip : 31322
Country : US
Telephone Number : 912-748-4527
Fax Number : 912-748-9016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 12/13/2007

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Directions to “ FRANCISCO J HERRAN MD” Practice Location

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