Herbert, Ayana Nicole
Herbert, Ayana Nicole is an individual health care provider with primary practice located at 2701 North Decatur Road , Decatur GA 30033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Herbert, Ayana Nicole can be contacted via phone (404) 501-1849.Contact Information
Primary practice address
2701 North Decatur Road
Decatur GA 30033
Phone: (404) 501-1849
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 055596 | Georgia |
Profile Details
| NPI number | 1790729911 |
|---|---|
| LBN Legal business name | Herbert, Ayana Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Nov 19th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790729911 | NPPES |
| Georgia | MEDICAID | 457381148D | |
| Georgia | MEDICAID | 457381148E |
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