Individual
GORDON B SHERARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1686 SKYLYN DRIVE, STE 101, SPARTANBURG, SC 29307
(864) 585-3456
(864) 585-3209
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22965
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229657
—
SC
01
—
P00691790
RR MEDICARE
SC
Enumeration date
05/19/2006
Last updated
12/17/2020
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