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Caleb W. Herndon, M.d., Ph.d., P.a.
Specialist in Brookhaven, Mississippi
NPI 1518037175

Caleb W. Herndon, M.d., Ph.d., P.a. is a Specialist based in Brookhaven, MS. Caleb W. Herndon, M.d., Ph.d., P.a. practices in Brookhaven, MS. The NPI Number for Caleb W. Herndon, M.d., Ph.d., P.a. is 1518037175 and holds a License No. 06643 (Mississippi).

The current practice location address for Caleb W. Herndon, M.d., Ph.d., P.a. is 347 W Cherokee St, Brookhaven, MS and can be reached out via phone at 601-833-1946 and via fax at 601-833-3938.

Location: 347 W Cherokee St, Brookhaven, MS, 39601-3219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518037175
Provider Name
Caleb W. Herndon, M.d., Ph.d., P.a.
Credential
Provider Entity Type
Organization
Address
347 W Cherokee St, Brookhaven, MS, 39601-3219
Phone Number
601-833-1946
Fax Number
601-833-3938
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00015595 05 MS
1629804 05 LA
462669093 01 MS BCBS OF MISSISSIPPI
institution
Provider Business Practice Location Address Details
Address
347 W Cherokee St
City
Brookhaven
State
Mississippi
Zip
39601-3219
Phone Number
601-833-1946
Fax Number
601-833-3938
person
Provider Business Mailing Address Details
Address
347 W Cherokee St
City
Brookhaven
State
Mississippi
Zip
39601-3219
Phone Number
601-833-1946
Fax Number
601-833-3938
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
06643 (Mississippi)
Definition
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.
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