Individual
JAMES G SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 W JACKSON ST, PIGGOTT, AR 72454-1538
(870) 598-2236
(870) 598-3080
Mailing address
425 W JACKSON ST, PIGGOTT, AR 72454-1538
(870) 598-2236
(870) 598-3080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3095
AR
207Q00000X
Family Medicine Physician
R8C74
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101514001
—
AR
05
—
201661709
—
MO
Enumeration date
08/03/2006
Last updated
07/09/2007
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