Individual
DANIEL J SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2340 FAIRVIEW BLVD STE 100, FAIRVIEW, TN 37062-9458
(629) 205-3018
(629) 205-3020
Mailing address
127 CRESTVIEW PARK DR STE 209, DICKSON, TN 37055-2856
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57869
TN
207Q00000X
Family Medicine Physician
E4946
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163658001
—
AR
05
—
201789906
—
MO
01
—
5N726
AR BLUE SHIELD #
AR
01
—
5N726
AR BLUE SHIELD #
MO
01
—
P00374551
RR MDCR #
MO
01
—
P00374552
RR MEDICARE
AR
05
—
Q037511
—
TN
Enumeration date
11/03/2005
Last updated
04/10/2019
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