Preston, Sherry D
Preston, Sherry D is an individual health care provider with primary practice located at 758 Old Norcross Rd Ste 125 , Lawrenceville GA 30046-3387. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Preston, Sherry D can be contacted via phone (678) 987-0820.Contact Information
Primary practice address
758 Old Norcross Rd Ste 125
Lawrenceville GA 30046-3387
Phone: (678) 987-0820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 006391 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 6391 | Georgia |
Profile Details
| NPI number | 1417213992 |
|---|---|
| LBN Legal business name | Preston, Sherry D |
| Credentials | PAAA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Jan 23rd, 2023 - about 3 years 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 | 1417213992 | NPPES |
| Georgia | MEDICAID | 003123840A |
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