Sheriff, Richard T
Sheriff, Richard T is an individual health care provider with primary practice located at 157 Clinic Ave Ste 201 , Carrollton GA 30117-4454. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Sheriff, Richard T can be contacted via phone (770) 214-2800.Contact Information
Primary practice address
157 Clinic Ave Ste 201
Carrollton GA 30117-4454
Phone: (770) 214-2800
Fax: (770) 214-2803
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN224195 | Georgia |
Profile Details
NPI number | 1487204236 |
---|---|
LBN Legal business name | Sheriff, Richard T |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2019 |
Last updated | Jan 31st, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487204236 | NPPES |
Georgia | MEDICAID | 003226645H |
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