Doctor Name: | MRS. PENNY W. SHERMAN |
NPI Number: | 1013289453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 140155 |
Business Practice Address: | 120 Barnet Dr Milledgeville, GA - 310614917 |
Business Phone Number: | 4784523535 |
Business Fax Number: | |
Mailing Address: | 2429 Holly Dr, MILLEDGEVILLE |
State: | GA |
Postal Code: | 310614952 |
Phone Number: | 4784528054 |
Fax Number: | 4784528054 |
NPI Enumeration Date: | 02/01/2012 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 140155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |