Individual
SHEROL CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E MAIN ST, WAYNESBORO, PA 17268-2353
(717) 765-3642
Mailing address
501 E MAIN ST, WAYNESBORO, PA 17268-2353
(717) 765-3642
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0059178
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00385510
MEDICARE RAILROAD
—
Enumeration date
01/11/2006
Last updated
02/17/2016
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