Johnathon R Herron, CSFA, CST
NPI #1639736432 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1639736432
- Entity Type
- Individual
- Name
- Johnathon R Herron, CSFA, CST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- CSFA, CST
- Enumeration Date
- May 28, 2019
- Last Updated
- Mar 15, 2021
Practice Location
- Address
- 4500 13TH ST
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-2515
- Phone
- (228) 867-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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