Dr Bobby Louis Herrington, MD | |
462 E G Miles Pkwy, Hinesville, GA 31313-4000 | |
(912) 877-7559 | |
Not Available |
Full Name | Dr Bobby Louis Herrington |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 462 E G Miles Pkwy, Hinesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003860743 | NPI | - | NPPES |
000424102H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 031942 (Georgia) | Primary |
Entity Name | Wayne Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982828943 PECOS PAC ID: 6103926241 Enrollment ID: O20070703000148 |
Entity Name | Southland Optim Screven Emergency Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
Entity Name | Southland Optim Jenkins Emergency Medical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265826242 PECOS PAC ID: 9537461538 Enrollment ID: O20160107002680 |
Entity Name | Southland Evans Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730697418 PECOS PAC ID: 0143575852 Enrollment ID: O20180621000703 |
Entity Name | Southland Evans Hospitalist Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467960146 PECOS PAC ID: 5799036182 Enrollment ID: O20180925000479 |
Mailing Address | Practice Location Address |
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Dr Bobby Louis Herrington, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (912) 877-7559 | Dr Bobby Louis Herrington, MD 462 E G Miles Pkwy, Hinesville, GA 31313-4000 Ph: (912) 877-7559 |