Individual
GRACIE T. HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
4300 W MAIN ST STE 403, DOTHAN, AL 36305-4001
(334) 793-4788
Mailing address
4300 W MAIN ST STE 403, DOTHAN, AL 36305-4001
(334) 793-4788
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
666A
AL
Other
Enumeration date
05/12/2008
Last updated
05/13/2008
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