Organization Name: | SHERWOOD CLINICAL, LLC |
NPI Number: | 1477539609 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY CARTER (GENERAL MANAGER) |
Mailing Address: | 415 Fisk Ave Demorest |
State: | GA US |
Postal Code: | 305356053 |
Phone Number: | 7067769127 |
Fax Number: | 7067769027 |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 12/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | PHRE007370 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |