Individual
DEBORAH HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 US HIGHWAY 19 N, CAMILLA, GA 31730-1410
(229) 336-1949
Mailing address
900 CAIRO RD, THOMASVILLE, GA 31792-4255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN193500
GA
Other
Enumeration date
02/15/2017
Last updated
08/03/2020
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