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John L Herzog SR., MD
Cardiovascular Disease Physician in Greenville, Mississippi
NPI 1093734949

John L Herzog SR. is a Cardiovascular Disease Physician based in Greenville, MS and is specialized in Cardiovascular Disease. John L Herzog SR. practices in Greenville, MS and has the professional credentials of MD. The NPI Number for John L Herzog SR. is 1093734949 and holds a License No. 09800 (Mississippi).

The current practice location address for John L Herzog SR. is 1421 E Union St, Greenville, MS and can be reached out via phone at 662-335-0183 and via fax at 662-335-7184.

Location: 1421 E Union St, Greenville, MS, 38704-5368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093734949
Provider Name
John L Herzog SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1421 E Union St, Greenville, MS, 38704-5368
Phone Number
662-335-0183
Fax Number
662-335-7184
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060000624 01 MS MEDICARE
00123017 05 MS
126236001 05 AR
institution
Provider Business Practice Location Address Details
Address
1421 E Union St
City
Greenville
State
Mississippi
Zip
38703-3247
Phone Number
662-335-0183
Fax Number
662-335-7184
person
Provider Business Mailing Address Details
Address
1421 E Union St
City
Greenville
State
Mississippi
Zip
38703-3247
Phone Number
662-335-0183
Fax Number
662-335-7184
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
09800 (Mississippi)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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