Organization
MARY T. SHERIFF, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THERESA SHERIFF DPM (PODIATRIST)
(504) 283-6754
Entity
Organization
Contact information
Practice address
4301 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-3875
(504) 283-6754
(504) 283-9949
Mailing address
43162 PECAN RIDGE DR, HAMMOND, LA 70403-0602
(985) 902-7785
(985) 902-7780
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PD318R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1162183
—
LA
01
—
PD318R
LA STATE LICENSE
LA
Enumeration date
09/13/2006
Last updated
06/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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