Individual
MICHAEL SHANE HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
201 INDEPENDENCE, 14 MEDICAL GROUP, COLUMBUS, MS 39710-5300
(402) 515-9942
Mailing address
201 INDEPENDENCE, 14 MEDICAL GROUP, COLUMBUS, MS 39710-5300
(402) 515-9942
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/14/2009
Last updated
02/16/2010
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