Provider Demographics
NPI:1043219165
Name:HERRING, ROBERT W JR (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:HERRING
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:330 WALLACE RD
Mailing Address - Street 2:SUITE103
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4893
Mailing Address - Country:US
Mailing Address - Phone:615-832-5530
Mailing Address - Fax:615-832-5713
Practice Address - Street 1:330 WALLACE RD
Practice Address - Street 2:SUITE103
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4893
Practice Address - Country:US
Practice Address - Phone:615-832-5530
Practice Address - Fax:615-832-5713
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2016-08-15
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Provider Licenses
StateLicense IDTaxonomies
TN16892207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3019060Medicare PIN