Individual
DR. EUGENE VAN HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 PRINCE AVE, BLDG 3, ATHENS, GA 30606-5908
(706) 548-4272
(706) 548-9181
Mailing address
740 PRINCE AVE, BLDG 3, ATHENS, GA 30606-5908
(706) 548-4272
(706) 548-9181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11369
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114265B
—
GA
01
—
237707
BCBS NUMBER
GA
Enumeration date
12/28/2006
Last updated
07/09/2007
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