Individual
DR. KATHERINE C. SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
300 W. 27TH ST., MEDICAL EDUCATION, LUMBERTON, NC 28359
(910) 671-5000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35-093882
OH
207Q00000X
Family Medicine Physician
Primary
2018-01651
NC
390200000X
Student in an Organized Health Care Education/Training Program
57-011569
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023301
—
OH
Enumeration date
05/07/2007
Last updated
08/21/2018
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