Charles B Herrin in Kingsport - Addiction Medicine
Charles B Herrin - NPI 1821039512
Charles B Herrin is a Addiction Medicine in Kingsport, Tennessee. Charles B Herrin practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Charles B Herrin is 1821039512. The last update date is 2007-07-08.
Charles B Herrin's current location address is 2300 Pavilion Dr, Kingsport, Tennessee. You can contact this provider via phone number 4238575571 and fax number 4238575237. The mailing address for Charles B Herrin is 2300 Pavilion Dr, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles B Herrin |
|---|---|
| Address | 2300 Pavilion Dr, Kingsport, Tennessee |
| Phone Number | 4238575571 |
| Fax Number | 4238575237 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821039512 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2300 Pavilion Dr |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376604622 |
| Phone Number | 4238575571 |
| Fax Number | 4238575237 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | MD11902 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| TN01X8 | TN | JOHN DEERE | |
| 3837993 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Charles B Herrin by the Centers for Medicare & Medicaid Services?
The Charles B Herrin has been assigned the NPI (National Provider Identifier) 1821039512. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Charles B Herrin is geographically located?
The Charles B Herrin is physically situated at the following location: 2300 Pavilion Dr, Kingsport, TN, 376604622.
What is Charles B Herrin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles B Herrin's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2084A0401X.
On what date did the Charles B Herrin receive the assignment of its 1821039512 from the Centers for Medicare & Medicaid Services?
The Charles B Herrin was issued its 1821039512 by the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date was the information pertaining to Charles B Herrin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles B Herrin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.