Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALLY NICOLE HERRINGTON, MS, ATC,LAT
Active Sole ProprietorALLY NICOLE HERRINGTON, MS, ATC,LAT is a Sports Medicine (Pediatrics) healthcare provider located in KENNESAW, Georgia. NPI 1639781768 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · KENNESAW, GA
Registration Details
- NPI Number
- 1639781768
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2020 (5.9485864682404 yrs)
- Last Updated
- Aug 19, 2020
- License
-
AT002822 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1275 STANLEY RD NWKENNESAW, GA, 301524359Browse GA providers · Browse ZIP 30152
- Phone
- 7705780182
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.