Organization
MARK D. HERRON, M.D. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH DAFFIN (ADMINISTRATOR)
(334) 272-7273
Entity
Organization
Contact information
Practice address
7260 HALCYON SUMMIT DR, MONTGOMERY, AL 36117-7047
(334) 277-3332
(334) 277-3522
Mailing address
7260 HALCYON SUMMIT DR, MONTGOMERY, AL 36117-7047
(334) 277-3332
(334) 277-3522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21157
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529923240
—
AL
Enumeration date
01/30/2006
Last updated
04/14/2010
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