Organization
BRUCE HERRINGTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD BRUCE HERRINGTON MD (MD)
(229) 482-2993
Entity
Organization
Contact information
Practice address
116 W THIGPEN AVE, STE B, LAKELAND, GA 31635-1011
(229) 482-2993
(229) 482-2998
Mailing address
116 W THIGPEN AVE, STE B, LAKELAND, GA 31635-1011
(229) 482-2993
(229) 482-2998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046118
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000869701E
—
GA
Enumeration date
04/27/2012
Last updated
04/27/2012
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