Brian Herron, PA
Physician Assistant in Charlotte, NC. Individual provider (NPI-1).
NPI number1700818655
StatusActive
Last updated in NPPESSep 25, 2020
Details
- NPI
- 1700818655
- Entity type
- Individual (NPI-1)
- Name
- Brian Herron
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Sep 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-01183 | NC | Yes |
Practice location
1000 Blythe BlvdCharlotte, NC 28203-5812
Phone 704-355-2171
Mailing address
Po Box 19305Charlotte, NC 28219-9305
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