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Individual

GARRICK TODD SHERMAN

Active
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Individual

GARRICK TODD SHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.149171
OH
2085R0202X
Diagnostic Radiology Physician
Primary
42273
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000627322
ANTHEM
KY
01
0958131
UMWA GROUP NUMBER
01
1093923666
VIRGINIA MEDICAID
01
3810015456
WEST VIRGINIA MEDICAID
WV
05
7100095490
KY
01
P00732734
RAILROAD MEDICARE
KY
Enumeration date
05/18/2007
Last updated
12/07/2023
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