Sherrod, Daryl
Sherrod, Daryl is an individual health care provider with primary practice located at 105 Habersham Dr Ste D , Fayetteville GA 30214-7341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sherrod, Daryl can be contacted via phone (470) 878-5051.Contact Information
Primary practice address
105 Habersham Dr Ste D
Fayetteville GA 30214-7341
Phone: (470) 878-5051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 049976 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 49976 | Georgia |
Profile Details
| NPI number | 1851354740 |
|---|---|
| LBN Legal business name | Sherrod, Daryl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Sep 15th, 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 | 1851354740 | NPPES |
| Georgia | MEDICAID | 00903658A |
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