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Individual

EDWARD J SHERIDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
159 E 2ND ST, CHILLICOTHE, OH 45601-2526
(740) 773-6347
(740) 773-9093
Mailing address
1456 JACKSON PIKE, STE 2, GALLIPOLIS, OH 45631-2602
(740) 446-0112
(740) 446-4732

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
11622
WV
207W00000X
Ophthalmology Physician
Primary
35038030S
OH
207W00000X
Ophthalmology Physician
4301060933
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0282671
OH
Enumeration date
08/10/2005
Last updated
07/15/2009
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