Provider Demographics
NPI:1952350506
Name:HERRING, WOODROW W III (MD)
Entity Type:Individual
Prefix:DR
First Name:WOODROW
Middle Name:W
Last Name:HERRING
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 20TH AVE E
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-4070
Mailing Address - Country:US
Mailing Address - Phone:205-385-2016
Mailing Address - Fax:
Practice Address - Street 1:801 20TH AVE E
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-4070
Practice Address - Country:US
Practice Address - Phone:205-385-2016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00021959207Q00000X, 207V00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009986100Medicaid
AL009909545Medicaid
AL009909545Medicaid
AL051507917Medicare ID - Type UnspecifiedMEDICARE NUMBER