Provider Demographics
NPI:1528749694
Name:HERRIN, HALIE (MA)
Entity type:Individual
Prefix:
First Name:HALIE
Middle Name:
Last Name:HERRIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 CARTHAGE RD
Mailing Address - Street 2:
Mailing Address - City:WEST END
Mailing Address - State:NC
Mailing Address - Zip Code:27376-8738
Mailing Address - Country:US
Mailing Address - Phone:706-457-4461
Mailing Address - Fax:
Practice Address - Street 1:1004 CARTHAGE RD
Practice Address - Street 2:
Practice Address - City:WEST END
Practice Address - State:NC
Practice Address - Zip Code:27376-8738
Practice Address - Country:US
Practice Address - Phone:706-457-4461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program