Provider Demographics
NPI:1508974882
Name:HERRERA, CHERRIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERRIE
Middle Name:
Last Name:HERRERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 WOODFIN LN
Mailing Address - Street 2:
Mailing Address - City:CLANTON
Mailing Address - State:AL
Mailing Address - Zip Code:35045-8732
Mailing Address - Country:US
Mailing Address - Phone:205-755-3500
Mailing Address - Fax:205-280-3348
Practice Address - Street 1:1320 WOODFIN LN
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-8732
Practice Address - Country:US
Practice Address - Phone:205-755-3500
Practice Address - Fax:205-280-3348
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20673207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL96005OtherBLUE CROSS BLUE SHIELD
AL000096005Medicare ID - Type Unspecified
ALG64226Medicare UPIN