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Individual
JUAN JOSE SHERWOOD
Active
Individual
JUAN JOSE SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032470
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000413993A
—
GA
05
—
000413993B
—
GA
05
—
000413993D
—
GA
01
—
0110001605
HEALTH SOURCE
—
01
—
0526682
AETNA SELECT / US HEALTHC
—
01
—
1202577
UNITED HEALTHCARE
—
01
—
276714
BCBS
—
01
—
581487734
PROMINA CLAIMS
—
01
—
581487734002
PRUCARE
—
01
—
7802
KAISER POS
—
01
—
S06119
SC HEALTHSOURCE
—
Enumeration date
08/03/2005
Last updated
09/30/2011
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