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Individual

DR. JAMES HENRY HERIOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 INDEPENDENCE DRIVE, 14TH MEDICAL GROUP/SGOQ, COLUMBUS AFB, MS 39710
(662) 434-2216
(662) 434-2128
Mailing address
201 INDEPENDENCE DRIVE, 14TH MEDICAL GROUP/SGOQ, COLUMBUS AFB, MS 39710
(662) 434-2216
(662) 434-2128

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0071966
FL

Other

Enumeration date
09/19/2005
Last updated
11/13/2013
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