Carla Heron, LE

NPI #1205514155 in Mount Olive, Alabama

Provider Information

NPI Number: 1205514155
Entity Type: Individual
Name: Carla Heron, LE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: LE
Enumeration Date: Jul 10, 2023
Last Updated: Jul 10, 2023

Practice Location

Address: 2722 MOUNT OLIVE RD
City: Mount Olive
State: Alabama
ZIP Code: 35117-3800
Phone: (205) 567-8376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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