Provider Demographics
NPI:1669453411
Name:HERRINGTON, CAROLYN L (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:L
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:420 LOWELL DR SE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3754
Mailing Address - Country:US
Mailing Address - Phone:256-535-5943
Mailing Address - Fax:256-535-5954
Practice Address - Street 1:420 LOWELL DR SE
Practice Address - Street 2:SUITE 300
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3754
Practice Address - Country:US
Practice Address - Phone:256-535-5972
Practice Address - Fax:256-536-5930
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2009-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL26814207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051558691Medicaid
TN1669453411OtherBLUE CROSS OF TENNESSEE
AL51541860OtherBLUE CROSS OF AL
AL35-2302740OtherAETNA
AL051559665Medicaid
AL051559665Medicare PIN
AL51541860OtherBLUE CROSS OF AL
AL051558691Medicaid
AL35-2302740OtherAETNA