| Carlos Andres Herrera, | |
|
1896 Main St Ste A, Madison, MS 39110-7676 | |
| (789) 289-1114 | |
| Not Available |
| Full Name | Carlos Andres Herrera |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 9 Years |
| Location | 1896 Main St Ste A, Madison, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194227421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH12400 (Florida) | Secondary |
| 111N00000X | Chiropractor | 1408 (Mississippi) | Primary |
| Provider Name | Southern Spine Family Chiropractic PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295529634 PECOS PAC ID: 1456868983 Enrollment ID: O20250729002241 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Andres Herrera, 4643 Canary Cir, Crestview, FL 32539-5808 Ph: (850) 305-5793 | Carlos Andres Herrera, 1896 Main St Ste A, Madison, MS 39110-7676 Ph: (789) 289-1114 |
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