Individual
RUSSELL PRUITT HERRINGTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 48TH STREET, VALLEY, AL 36854-3666
(334) 756-9180
(334) 756-5874
Mailing address
660 SNOOPY LANE, PORTAL, GA 30450
(912) 865-9353
(912) 865-4175
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31261
GA
207Q00000X
Family Medicine Physician
031261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000400188E
—
GA
05
—
000400188H
—
GA
05
—
178575873A
—
GA
01
—
P00400815
RAILROAD MEDICARE
GA
Enumeration date
07/19/2006
Last updated
08/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us