Individual
JASON LANE HERLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 819-6000
Mailing address
130 PHILIPPI CHURCH RD, PROSPERITY, SC 29127-9555
(864) 554-1966
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22503
NH
207L00000X
Anesthesiology Physician
4301094817
MI
207L00000X
Anesthesiology Physician
51553
SC
207L00000X
Anesthesiology Physician
Primary
71789
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
51553
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD.207659
LA
208VP0000X
Pain Medicine Physician
51553
SC
208VP0000X
Pain Medicine Physician
71789
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02334560
—
MS
05
—
2394690
—
LA
Enumeration date
07/01/2009
Last updated
09/08/2023
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