Individual
DR. CARLTON WAYNE HERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5533
(740) 441-3318
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.007166
OH
207R00000X
Internal Medicine Physician
1984
WV
207R00000X
Internal Medicine Physician
Primary
34.007166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00427029
RR MEDICARE
WV
05
—
2005609000
—
WV
05
—
2168890
—
OH
05
—
64071467
—
KY
Enumeration date
11/02/2005
Last updated
07/21/2022
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