Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 16892 | TN |
NPI | 1043219165 |
---|---|
Provider Name | Robert W Herring JR. |
First Address | Nashville, TN 37211-4893 |
Second Address | Nashville, TN 37211-4893 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 15/08/2016 |