Individual
DR. SHANE WRIGHT HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2705 E PINETREE BLVD, THOMASVILLE, GA 31792-4876
(229) 228-4136
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049453
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000894539D
—
GA
Enumeration date
11/06/2006
Last updated
07/08/2007
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