Individual
CHRISTINA RACKLEY HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
184 US HIGHWAY 319 N, TIFTON, GA 31794-9365
(478) 718-4868
Mailing address
184 US HIGHWAY 319 N, TIFTON, GA 31794-9365
(478) 718-4868
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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