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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487204236 NPPES
Georgia MEDICAID 003226645H

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