Doctor Name: | CHARLES DAVID HERRINGTON |
NPI Number: | 1043263122 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT0263 |
Business Practice Address: | 1200 N State St Suite 500 Jackson, MS - 392022000 |
Business Phone Number: | 6013522273 |
Business Fax Number: | 6017143415 |
Mailing Address: | 1600 N State St, Suite 400 JACKSON |
State: | MS |
Postal Code: | 392021689 |
Phone Number: | 6019441717 |
Fax Number: | 6019449780 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |