Individual
AYANA NICOLE HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 NORTH DECATUR ROAD, DECATUR, GA 30033
(404) 501-1849
Mailing address
2100 POWELL STREET, STE 920, EMERYVILLE, CA 94608-1803
(510) 350-2777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
055596
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457381148D
—
GA
05
—
457381148E
—
GA
Enumeration date
06/16/2006
Last updated
11/19/2020
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