Organization
ELENA HERNDON, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA HERNDON M.D. (OWNER)
(205) 329-7805
Entity
Organization
Contact information
Practice address
2018 BROOKWOOD MEDICAL CTR DR, POB SUITE 311, BIRMINGHAM, AL 35209-6898
(205) 329-7805
Mailing address
2018 BROOKWOOD MEDICAL CTR DR, POB SUITE 311, BIRMINGHAM, AL 35209-6898
(205) 329-7805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25308
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00078330
RAILROAD MEDICARE
AL
Enumeration date
04/11/2007
Last updated
08/22/2020
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