SearchGeorgia225700000X

Regener Herron

NPI 1811650534 · on the registry since 2021 · sole proprietor

Practice

Address
4240 Janet Dr
Stockbridge, GA 30281
Phone
(910) 224-7038
Clinicians at this address
2

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia