Individual
FOREST STEPHEN HERRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 LOWELL DR SE STE 24, HUNTSVILLE, AL 35801-3738
(256) 534-7005
(833) 902-4019
Mailing address
401 LOWELL DR SE STE 24, HUNTSVILLE, AL 35801-3738
(256) 534-7005
(833) 902-4019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14154
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000086778
—
AL
01
—
0004118765
AETNA
—
01
—
080019114
RAILROAD MEDICARE
—
01
—
51086778
BLUE CROSS BLUE SHIELD
AL
01
—
631027360
TAX ID
—
Enumeration date
11/09/2005
Last updated
05/09/2024
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