Organization
SHERROD FAMILY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRELINCA SHERROD FNP (CEO/OWNER)
(662) 352-3817
Entity
Organization
Contact information
Practice address
907A 31ST ST E, TUSCALOOSA, AL 35405-2507
(662) 352-3817
Mailing address
4699 COUNTY ROAD 75, ETHELSVILLE, AL 35461-3221
(662) 352-3817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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