Individual
SHERRY D PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAAA
Contact information
Practice address
758 OLD NORCROSS RD STE 125, LAWRENCEVILLE, GA 30046-3387
(678) 987-0820
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
006391
GA
367H00000X
Anesthesiologist Assistant
Primary
6391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123840A
—
GA
Enumeration date
04/09/2012
Last updated
01/23/2023
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