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Individual

MR. HAROLD HUGH HERRING JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
1136 N. MAIN ST., CLAYTON, GA 30525
(706) 782-2585
(706) 782-2012
Mailing address
555 HENDERSON FALLS RD, UNIT A, TOCCOA, GA 30577-1633
(706) 599-2926

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002263
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00961111A
GA
Enumeration date
01/26/2007
Last updated
07/08/2007
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