Individual
SHERYL D PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1497 W ELK AVE, SUITE 21, ELIZABETHTON, TN 37643-2895
(423) 542-7420
(423) 542-7425
Mailing address
1497 W ELK AVE, SUITE 21, ELIZABETHTON, TN 37643-2895
(423) 542-7420
(423) 542-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33787
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598715419
—
VA
05
—
3864465
—
TN
05
—
3865561
—
TN
05
—
3865567
—
TN
01
—
4122812
BCBST
TN
Enumeration date
05/11/2006
Last updated
02/21/2017
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