Individual
MR. JACKIE STEVE SHERRER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 WESTGATE PKWY, DOTHAN, AL 36303-2962
(334) 793-2120
(334) 671-0228
Mailing address
PO BOX 8397, DOTHAN, AL 36304-0397
(334) 793-2120
(334) 671-0228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00017149
AL
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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