MEDICARE: HERRING SPINE & REHAB, INC.

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	111N00000X	Chiropractor	0980	AL
2	111N00000X	Chiropractor	1176	AL
3	207R00000X	Internal Medicine Physician	00023346	AL

General Provider Information

NPI Number	:	1922032705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERRING SPINE & REHAB, INC.

Provider Business Mailing Address
First Line	:	2011 GATEWAY DR
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-6836
Country	:	US
Telephone Number	:	334-745-5321
Fax Number	:	334-745-5358

Provider Business Practice Location Address
First Line	:	2011 GATEWAY DR
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-6836
Country	:	US
Telephone Number	:	334-745-5321
Fax Number	:	334-745-5358

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RONALD D HERRING
Credential	:	DC
Telephone Number	:	334-745-5321

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	03/03/2022

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