Individual
DR. JOHN MITCHELL HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PARK RD, SUITE 208, COLUMBIA, SC 29203-6808
(803) 779-4928
(803) 434-4699
Mailing address
2 MEDICAL PARK RD, SUITE 208, COLUMBIA, SC 29203-6808
(803) 779-4928
(803) 434-4699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9927
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099271
—
SC
Enumeration date
04/14/2006
Last updated
10/03/2008
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