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General NPI Number Information
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NPI Number | 1033827332
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Entity Type | Organization
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Legal Business Name | HERDOC, LLC
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 121 HARMONY CROSSING SUITE 1
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City | EATONTON
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State | GA
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Zip | 31024
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Country | US
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Telephone | 762-220-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 121 HARMONY XING STE 1
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City | EATONTON
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State | GA
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Zip | 31024-9573
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Country | US
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Telephone | 762-220-1222
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Fax | 877-569-2615
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Authorized Official
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Title or Position | MD
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Name | SHANNA BARBARA HOLCOMB
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Credential |
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Telephone | 762-220-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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