CALEB W. HERNDON M.D. PH.D. P.A. NPI 1518037175

NPI Information

CALEB W. HERNDON, M.D., PH.D., P.A. is a specialist in Brookhaven, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CALEB W. HERNDON, M.D., PH.D., P.A. NPI is 1518037175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

347 W CHEROKEE ST
BROOKHAVEN, MS
ZIP 39601-219
Phone: (601) 833-1946
Fax: (601) 833-3938

The provider's authorized official is Natalie B. Herndon .
The authorized official title is Secretary and has the following contact phone number (601) 833-1946.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 4/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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