Individual
MICHAEL DARREN HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7701 AL HIGHWAY 144, ALEXANDRIA, AL 36250-5081
(256) 892-8135
(256) 892-8138
Mailing address
PO BOX 529, ALEXANDRIA, AL 36250-0529
(256) 892-8135
(256) 892-8138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO468
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51519513
BLUE CROSS/BLUE SHIELD
—
Enumeration date
08/25/2005
Last updated
09/10/2007
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