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NPI Code Detail

MEDICARE: DR. MICHAEL ANTHONY HERRON MD

MEDICARE: DR. MICHAEL ANTHONY HERRON 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
1207P00000XEmergency Medicine Physician038797GA
2208M00000XHospitalist Physician038797GA
3207R00000XInternal Medicine Physician38797GA

General Provider Information

NPI Number : 1639239825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ANTHONY HERRON MD
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD STE 100B
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number : 800-893-9698
Fax Number :
Provider Business Practice Location Address
First Line : 5995 SPRING ST
Second Line :
City : WARM SPRINGS
State : GA
Zip : 31830-2149
Country : US
Telephone Number : 706-655-3331
Fax Number : 706-655-9211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 09/06/2024

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Directions to “ DR. MICHAEL ANTHONY HERRON MD” Practice Location

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