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Individual

DR. SHERRY LYNN ROACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 E BRUNSON ST, STE 300, ENTERPRISE, AL 36330-2500
(334) 393-3212
(334) 393-4979
Mailing address
101 E BRUNSON ST, STE 300, ENTERPRISE, AL 36330-2500
(334) 393-3212
(334) 393-4979

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16655
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051509769
BCBS
AL
05
529912520
AL
Enumeration date
09/08/2005
Last updated
12/16/2016
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