Organization Name: | SHERWOOD CLINICAL, LLC |
NPI Number: | 1295919330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY CARTER (GENERAL MANAGER / OWNER) |
Mailing Address: | 8 Zebulon Street Barnesville |
State: | GA US |
Postal Code: | 30204 |
Phone Number: | 7703586483 |
Fax Number: | 7703586485 |
NPI Enumeration Date: | 12/26/2007 |
NPI Last Update Date: | 11/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | PHHH000008 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |