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NPI Code Detail

MEDICARE: RICHARD RAY HERBER M.D.

MEDICARE: RICHARD RAY HERBER 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
1207Q00000XFamily Medicine Physician35325SC
2207Q00000XFamily Medicine Physician39614NC

General Provider Information

NPI Number : 1023083599
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD RAY HERBER M.D.
Provider Business Mailing Address
First Line : PO BOX 1267
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-1267
Country : US
Telephone Number : 336-719-7112
Fax Number : 336-786-3752
Provider Business Practice Location Address
First Line : 1016 S SOUTH ST
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-5330
Country : US
Telephone Number : 336-783-8900
Fax Number : 336-783-3417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 05/01/2025

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