NPI 1548796063

Aaron Herndon

Practitioner Prevention Professional Macon, GA

Practice location

Address: 1501 Mercer University Dr, Macon, GA 31207-1515
Phone: (478) 718-2165

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence AT002675 (GA)

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Registry record

NPI: 1548796063
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2017
Record last updated: 3 May 2017

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.