Individual
JOHN P. SHERROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13540 HULL STREET RD, MIDLOTHIAN, VA 23112-2107
(804) 739-6142
(804) 739-8923
Mailing address
13540 HULL STREET RD, MIDLOTHIAN, VA 23112-2107
(804) 739-6142
(804) 739-8923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010126578
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
010126578
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083637292
—
VA
01
—
C06695
GROUP PTAN
VA
01
—
C09633
GROUP PTAN
VA
Enumeration date
07/26/2006
Last updated
01/02/2014
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