Basic Information
| Provider Information | |||||||||
| NPI: | 1043219165 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HERRING | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 330 WALLACE RD | ||||||||
| Address2: | SUITE103 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372114893 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158325530 | ||||||||
| FaxNumber: | 6158325713 | ||||||||
| Practice Location | |||||||||
| Address1: | 330 WALLACE RD | ||||||||
| Address2: | SUITE103 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372114893 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158325530 | ||||||||
| FaxNumber: | 6158325713 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2005 | ||||||||
| LastUpdateDate: | 08/15/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 16892 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.