Herda, George

Herda, George is an individual health care provider with primary practice located at 1616 Gallatin Pike N , Madison TN 37115-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Herda, George can be contacted via phone (615) 865-8500.

Contact Information

Primary practice address
1616 Gallatin Pike N Madison TN 37115-2104
Fax: (615) 860-8061
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD14613 Tennessee

Profile Details

NPI number 1215938980
LBN Legal business name Herda, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Nov 18th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215938980 NPPES
Tennessee Other 3144727 BLUE CROSS BLUE SHIELD TN

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