Sherrill, Reginald Robert

Sherrill, Reginald Robert is an individual health care provider with primary practice located at 1501 Broadrick Dr Suite 1, Dalton GA 30720-3014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Sherrill, Reginald Robert can be contacted via phone (706) 226-3311.

Contact Information

Primary practice address
1501 Broadrick Dr Suite 1 Dalton GA 30720-3014
Phone: (706) 226-3311
Fax: (706) 275-8723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 023677 Georgia

Profile Details

NPI number 1528007663
LBN Legal business name Sherrill, Reginald Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 19th, 2010 - about 15 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 1528007663 NPPES
Georgia Other 023677 GA LICENSE
Georgia MEDICAID 00245627A GA LICENSE
Georgia Other 208200000X GA LICENSE

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