Individual
SHERRELL ECHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3698 INNER PERIMETER RD STE 3603, VALDOSTA, GA 31602-1047
(229) 539-3710
Mailing address
3698 INNER PERIMETER RD STE 3603, VALDOSTA, GA 31602-1047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51749331
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-790-2611
—
GA
Enumeration date
02/16/2021
Last updated
02/16/2021
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