Active NPI 1942271812 Individual Practitioner Male Practitioner

Dr. Mark D Herron , MD

Dermatology • Montgomery, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Herron, MD is a certified Dermatology practicing in Montgomery, AL. With approximately 30 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1996, Dr. Herron delivers high-quality medical care to the local community at 7260 HALCYON SUMMIT DR.

Dr. Herron is affiliated with Mark D. Herron, M.D. L.L.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of skin growth, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7260 Halcyon Summit Dr

Montgomery, AL 361177047

Telephone 3342773332

Fax 3342773522

Associated Practice Facility / Clinic

🏢 Mark D. Herron, M.d. L.l.c. Facility NPI 1104897073

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Montgomery, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -1.5 yrs vs City Avg

City Avg: 31.5 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

9 Specialists

Practicing in Montgomery, AL (178 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herron (30 Years) 30 Yrs

Montgomery Specialty Average (31.5 Years) 31.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,627	1,006	$105.00	$83.19
17000 Destruction of skin growth	963	638	$85.00	$46.61
11102 Tangential biopsy of single skin lesion	634	514	$137.00	$79.12
17003 Destruction of precancer skin growth, 2-14 growths	613	251	$35.00	$5.94
17110 Destruction of up to 14 skin growths	481	373	$120.00	$98.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	227	$129.92	$118.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	236	236	$120.00	$101.92
11103 Biopsy of related skin growth, each additional growth	215	145	$64.00	$44.73
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	175	147	$260.00	$109.93
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	169	157	$340.00	$261.27
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	64	34	$180.00	$127.02
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	58	53	$291.00	$123.97
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	53	53	$540.00	$428.01
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	50	49	$310.00	$277.13
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	49	41	$274.69	$124.84
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	46	44	$270.00	$113.68
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	42	27	$195.00	$155.64
17004 Destruction of precancer skin growth, 15 or more growths	39	24	$304.00	$148.47
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	23	$193.00	$116.24
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	14	$225.00	$171.57
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	21	$410.00	$345.39
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	21	15	$200.00	$167.71
11200 Removal of skin tag, 1-15 skin tags	20	20	$95.00	$59.66
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	13	13	$365.00	$143.71
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	12	12	$330.00	$289.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,657	1,011	$101.62	$82.90
17000 Destruction of skin growth	903	609	$85.04	$47.23
11102 Tangential biopsy of single skin lesion	628	527	$136.84	$82.92
17003 Destruction of precancer skin growth, 2-14 growths	506	243	$35.00	$5.97
17110 Destruction of up to 14 skin growths	449	375	$119.92	$100.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	221	$129.41	$118.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	290	290	$120.00	$102.39
11103 Biopsy of related skin growth, each additional growth	239	156	$64.31	$44.93
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	156	150	$340.00	$269.35
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	155	136	$260.00	$113.67
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	69	63	$291.00	$123.16
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	37	34	$270.00	$124.69
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	37	21	$180.00	$134.43
17004 Destruction of precancer skin growth, 15 or more growths	37	27	$299.03	$152.78
11200 Removal of skin tag, 1-15 skin tags	34	34	$94.71	$66.28
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	32	32	$310.00	$278.24
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	31	31	$536.13	$417.26
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	22	$193.00	$136.52
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	17	$195.00	$165.60
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	15	$226.59	$188.28
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	21	20	$315.00	$274.80
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$275.00	$127.71
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	12	12	$420.00	$355.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,627	1,053	$95.00	$85.29
17000 Destruction of skin growth	904	611	$85.00	$46.73
11102 Tangential biopsy of single skin lesion	676	553	$137.00	$86.47
17110 Destruction of up to 14 skin growths	383	310	$120.00	$102.84
17003 Destruction of precancer skin growth, 2-14 growths	323	204	$35.00	$6.12
11103 Biopsy of related skin growth, each additional growth	286	183	$64.00	$46.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	179	$130.00	$118.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	255	255	$120.00	$105.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	147	138	$340.00	$264.17
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	139	120	$260.00	$112.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	66	33	$180.00	$142.04
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	59	54	$291.00	$125.89
17004 Destruction of precancer skin growth, 15 or more growths	55	38	$304.00	$157.31
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	54	53	$315.00	$294.52
11200 Removal of skin tag, 1-15 skin tags	44	42	$95.00	$63.34
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	33	22	$195.00	$167.70
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	32	30	$270.00	$111.40
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	27	27	$310.00	$254.95
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	15	$225.00	$184.76
11104 Punch biopsy, first skin growth	21	21	$136.00	$110.09
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	16	$275.00	$125.67
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	17	11	$200.00	$141.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,692	1,076	$94.90	$86.14
17000 Destruction of skin growth	779	515	$85.00	$48.68
11102 Tangential biopsy of single skin lesion	603	512	$137.00	$89.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	351	351	$110.08	$105.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	347	236	$129.83	$120.91
17110 Destruction of up to 14 skin growths	341	293	$120.00	$104.00
17003 Destruction of precancer skin growth, 2-14 growths	306	176	$35.00	$5.92
11103 Biopsy of related skin growth, each additional growth	223	144	$64.00	$48.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	134	127	$340.00	$271.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	127	111	$260.00	$113.57
11200 Removal of skin tag, 1-15 skin tags	42	42	$95.00	$62.59
17004 Destruction of precancer skin growth, 15 or more growths	39	24	$304.00	$155.78
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	36	17	$180.00	$142.83
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	32	31	$291.00	$124.19
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	31	30	$270.00	$113.25
11104 Punch biopsy, first skin growth	30	24	$136.00	$119.68
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	29	28	$315.00	$289.73
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	27	27	$310.00	$294.77
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	11	$195.00	$178.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,067	1,190	$75.02	$70.32
17000 Destruction of skin growth	801	546	$85.00	$46.68
11102 Tangential biopsy of single skin lesion	648	549	$137.00	$86.36
17110 Destruction of up to 14 skin growths	413	338	$120.00	$101.81
17003 Destruction of precancer skin growth, 2-14 growths	379	197	$35.00	$5.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	290	290	$110.00	$100.21
11103 Biopsy of related skin growth, each additional growth	244	168	$61.28	$48.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	133	114	$260.00	$111.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	130	126	$326.62	$266.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	53	$110.00	$102.72
11200 Removal of skin tag, 1-15 skin tags	52	52	$95.00	$53.93
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	40	40	$313.13	$284.40
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	40	39	$291.00	$127.86
17004 Destruction of precancer skin growth, 15 or more growths	32	23	$304.00	$148.84
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	28	$270.00	$120.45
11104 Punch biopsy, first skin growth	29	27	$134.55	$115.24
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	28	27	$290.00	$264.33
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	12	$180.00	$113.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,060	1,242	$75.00	$69.06
17000 Destruction of skin growth	822	584	$85.00	$47.89
11102 Tangential biopsy of single skin lesion	543	478	$137.00	$83.69
17110 Destruction of up to 14 skin growths	407	334	$120.00	$99.34
17003 Destruction of precancer skin growth, 2-14 growths	377	218	$35.00	$4.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	309	309	$110.00	$97.75
11103 Biopsy of related skin growth, each additional growth	208	136	$51.00	$45.96
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	129	123	$310.00	$273.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	128	112	$260.00	$111.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	37	$110.00	$94.73
11200 Removal of skin tag, 1-15 skin tags	58	56	$95.00	$59.31
17004 Destruction of precancer skin growth, 15 or more growths	50	30	$304.00	$140.00
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	47	45	$291.00	$159.76
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	32	31	$290.00	$261.26
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	28	$270.00	$143.67
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	20	20	$250.00	$158.94
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	16	$275.00	$247.28
11104 Punch biopsy, first skin growth	16	16	$115.00	$113.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,049	1,185	$75.00	$67.39
17000 Destruction of skin growth	870	592	$85.00	$48.22
11100 Biopsy of single growth of skin and/or tissue	607	520	$105.00	$87.23
17110 Destruction of up to 14 skin growths	436	350	$120.00	$99.84
17003 Destruction of precancer skin growth, 2-14 growths	377	239	$35.00	$4.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	327	327	$110.00	$97.84
11101 Biopsy of each additional growth of skin and/or tissue	214	148	$45.00	$29.22
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	146	136	$310.00	$272.19
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	138	114	$260.00	$113.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	34	$110.00	$97.46
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	55	50	$291.00	$194.23
11200 Removal of skin tag, 1-15 skin tags	46	44	$95.00	$59.93
17004 Destruction of precancer skin growth, 15 or more growths	44	20	$304.00	$127.36
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	41	40	$250.00	$132.39
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	39	38	$270.00	$156.79
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	13	$180.00	$149.49
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	20	19	$290.00	$235.94
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	17	16	$240.00	$95.93
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$275.00	$124.07
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	16	$275.00	$223.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,924	1,118	$75.00	$67.24
17000 Destruction of skin growth	821	565	$85.00	$45.61
11100 Biopsy of single growth of skin and/or tissue	649	542	$105.00	$85.59
17110 Destruction of up to 14 skin growths	446	366	$120.00	$96.61
17003 Destruction of precancer skin growth, 2-14 growths	392	255	$35.00	$5.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	247	247	$110.00	$99.30
11101 Biopsy of each additional growth of skin and/or tissue	222	149	$45.00	$29.41
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	105	86	$260.00	$127.36
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	99	89	$310.00	$269.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	42	$110.00	$97.48
17004 Destruction of precancer skin growth, 15 or more growths	62	41	$304.00	$136.95
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	57	55	$291.00	$172.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	48	28	$180.00	$146.25
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	47	45	$250.00	$164.73
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	31	30	$290.00	$250.83
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	25	$270.00	$154.52
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	28	28	$230.00	$154.00
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	25	22	$250.00	$101.62
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	17	$275.00	$240.33
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	13	13	$240.00	$104.18
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	12	12	$240.00	$125.81
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$275.00	$117.78

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AL 21157

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Pediatric Dermatology

NUCC Taxonomy Code: 207NP0225X

State License AL 21157

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

529923240 (AL)

Hospital & Practice Group Affiliations

Mark D. Herron, M.d. L.l.c.

7260 Halcyon Summit Dr, Montgomer, AL 361177047

Phone: 3342773332

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Katherine Bodiford , MD

Dermatology

NPI 1881911204

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 14, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2010

Registered at 7260 HALCYON SUMMIT DR, MONTGOMERY, AL 361177047 (Tel: 3342773332)

📍

Updated Business Mailing Address April 14, 2010

Registered at 7260 HALCYON SUMMIT DR, MONTGOMERY, AL 361177047 (Tel: 3342773332)

👤

Provider Name / Credentials Updated April 14, 2010

Recorded as MARK HERRON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2010

Dermatology (License #21157 in AL)

🟢

Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942271812

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 30, 2006

Last Update: April 14, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7260 Halcyon Summit Dr

Montgomery, AL 361177047

Phone: 3342773332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.