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Contact Information

CLYDE W HERNDON, PT
106 SHOPPERS WAY
STE G
BRUNSWICK, GA31525
 Phone: 912-280-0600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CLYDE W HERNDON · (Male)

NPI Number 1013092477
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 10/26/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PT002875
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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