Individual
MR. MATTHEW B HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 428-3423
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 428-3423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA396
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009978295
—
AL
01
—
0900180
UNITED HEALTHCARE
AL
01
—
51000085
BCBS
AL
01
—
7346659
AETNA
AL
Enumeration date
03/17/2006
Last updated
02/02/2010
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