Individual
RICHARD H SHEREFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
139 HUNTER CIR, FAYETTEVILLE, NC 28304-3408
(910) 323-4888
(910) 323-9005
Mailing address
139 HUNTER CIR, FAYETTEVILLE, NC 28304-3408
(910) 323-4888
(910) 323-9005
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22276
NC
207NS0135X
Procedural Dermatology Physician
22276
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-1255529
TAX ID#
NC
01
—
75765
BCBS
NC
05
—
8975765
—
NC
Enumeration date
08/16/2005
Last updated
01/03/2012
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