Individual
MR. REGINALD ROBERT SHERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 BROADRICK DR, SUITE 1, DALTON, GA 30720-3014
(706) 226-3311
(706) 275-8723
Mailing address
1501 BROADRICK DR, SUITE 1, DALTON, GA 30720-3014
(706) 226-3311
(706) 275-8723
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
023677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245627A
—
GA
01
—
023677
GA LICENSE
GA
01
—
208200000X
PROVIDER TYPE
GA
Enumeration date
06/05/2006
Last updated
03/19/2010
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