Individual
DR. NICHOLAS THOMAS ANTHONY HERGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(701) 571-1000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
79345
GA
207Q00000X
Family Medicine Physician
Primary
79345
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
07/07/2021
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