Jerome A Sherard Md Pc

LBN: Jerome A Sherard Md Pc
Jerome A Sherard Md Pc is an health care organization with primary practice located at 340 N Holtzclaw Ave , Chattanooga TN 37404-2305. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Jerome A Sherard Md Pc can be contacted via phone (423) 624-3555, or through Sherard, Jerome A via phone (423) 624-3555.

Contact Information

Primary practice address
340 N Holtzclaw Ave Chattanooga TN 37404-2305
Phone: (423) 624-3555
Fax: (423) 624-7030
Website:
Map and Directions
Authorized official contact:
Name: Sherard, Jerome A Doctor of Medicine (MD)
Phone: (423) 624-3555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1962620302
LBN Legal business name Jerome A Sherard Md Pc
DBA Doing business as
Authorized official Sherard, Jerome A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Nov 19th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962620302 NPPES
Georgia MEDICAID 300040361B
Georgia MEDICAID 3015325

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