Organization Name: | JOSEPH T. SHERREL, MD PA |
NPI Number: | 1073542825 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDY BRYANT (OFFICE MANAGER) |
Mailing Address: | 4316 5th Ave Marianna |
State: | FL US |
Postal Code: | 324462182 |
Phone Number: | 8505265437 |
Fax Number: | 8504826550 |
NPI Enumeration Date: | 07/02/2006 |
NPI Last Update Date: | 03/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 40400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |