Individual
SAMANTHA HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
404 S LEWIS LN, CARBONDALE, IL 62901-3547
(618) 519-9200
(618) 549-1288
Mailing address
PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 519-9200
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009226
IL
Other
Enumeration date
09/20/2022
Last updated
01/12/2026
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