Individual
DR. HENRY LOWELL SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7545 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5806
(901) 759-3100
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
036-100695
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
2006008801
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20669
MS
207X00000X
Orthopaedic Surgery Physician
20669
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001208
—
MS
01
—
036-100695
MEDICAL LICENSE
IL
01
—
2006008801
MEDICAL LICENSE
MO
05
—
205460001
—
AR
05
—
Q008767
—
TN
Enumeration date
01/24/2007
Last updated
05/01/2018
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