Individual
MR. THOMAS EDWARD HERRING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CRNA
Contact information
Practice address
4752 MICHELLE ST, VALDOSTA, GA 31605-6332
(229) 293-9422
Mailing address
4752 MICHELLE ST, VALDOSTA, GA 31605-6332
(229) 293-9422
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
081964
GA
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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