Individual
DR. GREGORY MIDDLETON HEROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 RUE DE LA VIE AVE, SUITE 411, BATON ROUGE, LA 70817-5126
(225) 751-4488
(225) 751-1001
Mailing address
500 RUE DE LA VIE AVE, SUITE 411, BATON ROUGE, LA 70817-5126
(225) 751-4488
(225) 751-1001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012327
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191876
—
LA
Enumeration date
07/03/2006
Last updated
07/20/2012
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