Provider Demographics
NPI:1366479917
Name:HERRING, RUFUS M JR (MD)
Entity type:Individual
Prefix:DR
First Name:RUFUS
Middle Name:M
Last Name:HERRING
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 PERIMETER PARK DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:403 FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2311
Practice Address - Country:US
Practice Address - Phone:910-590-0605
Practice Address - Fax:910-592-0811
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16383208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1238871OtherUNITED HEALTHCARE
NC25324OtherMEDCOST
NC560955090EOtherCIGNA
NC5954003OtherAETNA
NC41978OtherNC BLUE CROSS BLUE SHIELD
NC8941978Medicaid
NC1238871OtherUNITED HEALTHCARE
NC207224AMedicare ID - Type Unspecified