Individual
HAL C HERRING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD, PA
Contact information
Practice address
204 IONA ST, FAIRMONT, NC 28340-1616
(910) 628-8316
(910) 628-5642
Mailing address
PO BOX 648, FAIRMONT, NC 28340-0648
(910) 628-8316
(910) 628-5642
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410043066
RR MEDICARE
—
05
—
8909378
—
NC
Enumeration date
08/10/2005
Last updated
05/16/2012
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