Individual
MRS. MARIA DEL CARMEN HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
930 ASHLAND PARK WAY, LAWRENCEVILLE, GA 30045-6807
(678) 943-7100
Mailing address
5300 OAKBROOK PKWY, NORCROSS, GA 30093-2256
(770) 806-2928
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12735
GA
363AM0700X
Medical Physician Assistant
—
GA
Other
Enumeration date
08/27/2024
Last updated
12/16/2024
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