Healthcare Provider Details

I. General information

NPI: 1750484994
Provider Name (Legal Business Name): JAMES O. HERBERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 12/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E GREENVILLE ST SUITE 2550
ANDERSON SC
29621-1580
US

IV. Provider business mailing address

PO BOX 2047
ANDERSON SC
29622-2047
US

V. Phone/Fax

Practice location:
  • Phone: 864-225-5131
  • Fax: 864-225-2592
Mailing address:
  • Phone: 864-225-5131
  • Fax: 864-225-2592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number6928
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: