Individual
AARON HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 MERCER UNIVERSITY DR, MACON, GA 31207-1515
(478) 718-2165
Mailing address
1501 MERCER UNIVERSITY DR, MACON, GA 31207-1515
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
AT002675
GA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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