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Individual

DR. HOWARD KENNETH HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
830 EAGLES LANDING PKWY STE 102, STOCKBRIDGE, GA 30281-7366
(770) 389-0000
(770) 389-0168
Mailing address
1240 HIGHWAY 54 W BLDG 700 STE 710, FAYETTEVILLE, GA 30214-4565
(678) 534-5922
(770) 997-3827

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036777
GA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
036777
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000544387B
GA
05
000544387C
GA
05
000544387K
GA
01
0379519
CIGNA
GA
01
40010665
RAILROAD MEDICARE
GA
01
474095
AETNA
GA
01
52414201
BCBS OF GEORGIA
GA
Enumeration date
07/07/2005
Last updated
02/09/2022
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