Individual
DR. BARON VANCE HERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 372-2770
(931) 525-1176
Mailing address
401 ALCORN DR, SUITE 2C, CORINTH, MS 38834-9072
(662) 286-9255
(662) 286-9274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20998
MS
208M00000X
Hospitalist Physician
Primary
2847
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05005793
—
MS
01
—
302I116832
MEDICARE
MS
01
—
P00951695
RAILROAD MEDICARE
MS
Enumeration date
04/13/2010
Last updated
09/10/2018
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