Individual
MRS. ALICIA NICOLE HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SURGICAL TECH
Contact information
Practice address
1913 MALONE CT, LOCUST GROVE, GA 30248-1119
(678) 764-0631
Mailing address
1913 MALONE CT, LOCUST GROVE, GA 30248-1119
(678) 764-0631
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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