NPI 1003494915
William Jordan Herrin
Practice location
- Address
- 6965 Waters Edge Dr, Stone Mountain, GA 30087-5455
- Phone
- (678) 488-4056
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1003494915
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Mar 2021
- Record last updated
- 31 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.