Individual
DR. JERRY F SHERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 CHAPMAN HILL RD, CLEMSON, SC 29631
(864) 653-4071
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6174
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
16839
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168393
—
SC
01
—
5252
MEDICAID GROUP EFFECTIVE 4-1-2013 5252 BAPTIST EASLEY HOSPITAL DBA CLEMSON NEUR
SC
01
—
G9363
MEDICARE UPIN EFFECTIVE 4-1-2013 BAPTIST EASLEY HOSPITAL
SC
Enumeration date
02/14/2006
Last updated
10/18/2018
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