| Doctor Name: | DR. GEORGE HERDA |
| NPI Number: | 1215938980 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD14613 |
| Business Practice Address: | 1616 Gallatin Pike N Madison, TN - 371152104 |
| Business Phone Number: | 6158658500 |
| Business Fax Number: | 6158608061 |
| Mailing Address: | 1616 Gallatin Pike N, MADISON |
| State: | TN |
| Postal Code: | 371152104 |
| Phone Number: | 6158658500 |
| Fax Number: | 6158608061 |
| NPI Enumeration Date: | 08/03/2005 |
| NPI Last Update Date: | 11/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD14613 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |