Individual
DR. VINCENT E. HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1860 CHADWICK DR STE 351, JACKSON, MS 39204-3472
(601) 376-1288
Mailing address
2500 NORTH STATE STREET DIVISION OF HEMATOLOGY, JACKSON, MS 39216-4500
(601) 984-5615
(601) 984-5689
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
14425
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02450824
—
MS
05
—
103357
—
AL
05
—
1412074
—
LA
01
—
P01236760
RAILROAD MEDICARE
MS
Enumeration date
07/11/2006
Last updated
08/21/2020
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