Individual
MARSHALL TODD HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
230 CEDAR POINTE DR, ATHENS, GA 30605-3339
(706) 549-3668
(706) 613-5069
Mailing address
230 CEDAR POINTE DR, ATHENS, GA 30605-3339
(706) 549-3668
(706) 613-5069
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000627228B
—
GA
01
—
10076000
AMERIGROUP
GA
01
—
1015170002
MEDICARE DMERC
GA
01
—
378560
WELLCARE
GA
01
—
480017437
RAILROAD MEDICARE
GA
01
—
6521170
CIGNA
GA
Enumeration date
02/22/2006
Last updated
07/06/2022
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