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NPI Code Detail

MEDICARE: DR. JOSEPH NED HERREN MD

MEDICARE: DR. JOSEPH NED HERREN 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
1207R00000XInternal Medicine Physician21714GA

General Provider Information

NPI Number : 1205835360
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH NED HERREN MD
Provider Business Mailing Address
First Line : 420 E 2ND AVE
Second Line : SUITE 103
City : ROME
State : GA
Zip : 30161-3209
Country : US
Telephone Number : 706-509-3000
Fax Number :
Provider Business Practice Location Address
First Line : 123 THREE RIVERS DR NE
Second Line :
City : ROME
State : GA
Zip : 30161-2300
Country : US
Telephone Number : 706-295-3961
Fax Number : 706-295-3979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 06/03/2021

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Directions to “ DR. JOSEPH NED HERREN MD” Practice Location

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