Individual
FRANCISCO J HERRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
143 CANAL STREET, SUITE 200, POOLER, GA 31322
(912) 748-4527
(912) 748-9016
Mailing address
PO BOX 668, POOLER, GA 31322
(912) 748-4527
(912) 748-9016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
057179
GA
208000000X
Pediatrics Physician
ME69419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057179
GA LICENSE
GA
05
—
262138000
—
FL
Enumeration date
07/26/2005
Last updated
12/13/2007
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