Individual provider · Type 1 NPI

Cori Beth Herron, PA

Surgical Physician Assistant · Gainesville, GA

NPI number 1336559517 Active

Practice location

1439 Jesse Jewell Pkwy NE Ste 302
Gainesville, GA 30501-3806

Call (770) 219-9200 Map

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X007193 (GA)
Surgical Physician Assistant Primary 363AS0400X007193 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1336559517

Cori Beth Herron, PA's National Provider Identifier is 1336559517, issued on Apr 28, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gainesville, GA. The record was last updated on Oct 15, 2025.