IndividualActive
Alicia Herndon, SURGICAL TECH
NPI 1275339145 · Technician/Technologist · Locust Grove, GA
Provider details
- NPI number
- 1275339145
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Credential
- SURGICAL TECH
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1913 Malone Ct
Locust Grove, GA 30248-1119
Phone: (678) 764-0631
Approximate (ZIP-level) locationGet directions
Mailing address
1913 Malone Ct
Locust Grove, GA 30248-1119
Registry dates
- Enumerated
- 2025-02-21
- Last updated
- 2025-02-21
- Certified
- 2025-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.