Individual
JACK HENRY SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BLDG 25501 BRAINARD AVENUE, FORT EISENHOWER, GA 30905
(706) 787-7050
Mailing address
BLDG 25501 BRAINARD AVENUE, FORT EISENHOWER, GA 30905
(706) 787-7050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14035618-9926
UT
Other
Enumeration date
07/18/2024
Last updated
06/04/2025
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