| Herring Human Services Pa | |
|
1400 Wayne Memorial Dr Ste A Goldsboro NC 27534-2256 | |
| (919) 920-9267 | |
| (919) 751-9170 |
| Full Name | Herring Human Services Pa |
|---|---|
| Speciality | Social Worker |
| Location | 1400 Wayne Memorial Dr Ste A, Goldsboro, North Carolina |
| Authorized Official Name and Position | Michael W Herring (PRESIDENT) |
| Authorized Official Contact | 9199209267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Herring Human Services Pa 1400 Wayne Memorial Dr Ste A Goldsboro NC 27534-2256 Ph: (919) 920-9267 | Herring Human Services Pa 1400 Wayne Memorial Dr Ste A Goldsboro NC 27534-2256 Ph: (919) 920-9267 |
| NPI Number | 1457472474 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 6305931809 |
|---|---|
| Medicare Enrollment ID | O20070928000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457472474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C003689 (North Carolina) | Primary |
| Provider Name | Michael Wayne Herring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356446660 PECOS PAC ID: 1355392739 Enrollment ID: I20050202000807 |
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