Individual
DR. MERINDA HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5901C PEACHTREE DUNWOODY RD NE, SUITE C-65, ATLANTA, GA 30328-5382
(404) 252-9751
(678) 990-5763
Mailing address
5901C PEACHTREE DUNWOODY RD NE, SUITE C-65, ATLANTA, GA 30328-5382
(404) 252-9751
(678) 990-5763
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042276
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000728648E
—
GA
05
—
000728648G
—
GA
05
—
684743111A
—
GA
Enumeration date
07/13/2005
Last updated
07/09/2007
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