Harold Hugh Herring Jr., P.T.A.
Individual provider Active NPI Physical Therapy Assistant · Clayton, GA
NPI 1003962846 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003962846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA002263 (GA)
- Practice address
- 1136 N. Main St.
Clayton, GA 30525 - Phone
- (706) 782-2585
- Fax
- (706) 782-2012
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA002263 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA002263 | GA | Yes |
Addresses
Primary practice location
1136 N. Main St.
Clayton, GA 30525
Mailing address
555 Henderson Falls Rd
Unit a
Toccoa, GA 30577-1633
Phone (706) 599-2926
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00961111A | Medicaid | GA |
Other providers in Clayton, GA
- Cheryl L Harbin
- Fred Sumner Harris
- Healthie Georgia Inc
- Healthie Pathways
- Robert Hennen
- Highlands Internal Medicine, PC
- Matthew Douglas Holland
- Michael Hollifield
- Holloway Family Dentistry
- Hon Medical Group, PC
All providers in Clayton, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.