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Individual

GREGORY J SHERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 HOSPITAL WAY, SUITE 100, SOMERSET, KY 42503-2872
(606) 451-2662
(606) 451-2641
Mailing address
350 HOSPITAL WAY, SUITE 100, SOMERSET, KY 42503-2872
(606) 451-2662
(606) 451-2641

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23467
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000054064
ANTHEM
01
1183695
CHA
01
5125849
CCN
01
5993115
AETNA
05
64234677
KY
01
C04316
CUMBERLAND HEALTHCARE
Enumeration date
02/13/2006
Last updated
04/20/2008
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