Individual
DR. GEORGE HERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1616 GALLATIN PIKE N, MADISON, TN 37115-2104
(615) 865-8500
(615) 860-8061
Mailing address
1616 GALLATIN PIKE N, MADISON, TN 37115-2104
(615) 865-8500
(615) 860-8061
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD14613
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144727
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
08/03/2005
Last updated
11/18/2010
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