NPI 1205514155

Carla Heron, LE

Practitioner Other Technician Mount Olive, AL

Practice location

Address: 2722 Mount Olive Rd, Mount Olive, AL 35117-3800
Phone: (205) 567-8376

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence AL136485 (AL)

Other Technician, Other providers in Alabama →

Registry record

NPI: 1205514155
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2023
Record last updated: 10 Jul 2023

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.