Individual
MR. RICHARD T SHERIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
157 CLINIC AVE STE 201, CARROLLTON, GA 30117-4454
(770) 214-2800
(770) 214-2803
Mailing address
157 CLINIC AVE STE 201, CARROLLTON, GA 30117-4454
(770) 214-2800
(770) 214-2803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN224195
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003226645H
—
GA
Enumeration date
09/13/2019
Last updated
08/09/2024
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