Provider Demographics
NPI:1154446433
Name:HERRING, RHONDA KAY (CSA)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:KAY
Last Name:HERRING
Suffix:
Gender:F
Credentials:CSA
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Mailing Address - Street 1:2537 CEDARCREST RD STE 305-14
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-8900
Mailing Address - Country:US
Mailing Address - Phone:678-758-8164
Mailing Address - Fax:770-336-6620
Practice Address - Street 1:2537 CEDARCREST RD STE 305-14
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-8900
Practice Address - Country:US
Practice Address - Phone:470-336-8190
Practice Address - Fax:770-336-6620
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2021-05-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA20-8656511OtherEIN