Doctor Name: | DR. SAMANTHA JO HERRIOTT |
NPI Number: | 1477845444 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 5101019227 |
Business Practice Address: | 320 Bristol West Blvd Ste 2c Bristol, TN - 376208772 |
Business Phone Number: | 4238441399 |
Business Fax Number: | 4238771397 |
Mailing Address: | Po Box 9, KINGSPORT |
State: | TN |
Postal Code: | 376620009 |
Phone Number: | 4238572066 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2011 |
NPI Last Update Date: | 06/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 5101019227 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |