MEDICARE: RONNIE J HERRING M.D.

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
1	207R00000X	Internal Medicine Physician	00023346	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51001028	OTHER	AL	BLUE CROSS

General Provider Information

NPI Number	:	1326066580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONNIE J HERRING M.D.

Provider Business Mailing Address
First Line	:	PO BOX 22389
Second Line	:	PMB 82739
City	:	NASHVILLE
State	:	TN
Zip	:	37202
Country	:	US
Telephone Number	:	866-315-2626
Fax Number	:

Provider Business Practice Location Address
First Line	:	2948 CARTER HILL RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-2531
Country	:	US
Telephone Number	:	334-694-2262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	12/12/2023

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