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Individual

MRS. HANNAH KINLAW HERRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5084
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5084

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04666
NC
363AM0700X
Medical Physician Assistant
0010-04666
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295156305
NC
Enumeration date
12/17/2013
Last updated
03/13/2017
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