Individual
CYNTHIA A SHERROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
241 GLENLOCH CT, STOCKBRIDGE, GA 30281-5912
(404) 451-6488
Mailing address
241 GLENLOCH CT, STOCKBRIDGE, GA 30281-5912
(404) 451-6488
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
058986792
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59503108
—
GA
Enumeration date
07/18/2011
Last updated
07/18/2011
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