Individual
BETTY L HERRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-5226
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39208-6013
(601) 984-5226
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
231386
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512I370047
MEDICARE PTAN
MS
Enumeration date
05/10/2007
Last updated
06/14/2012
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