Individual
OLGA MARIA SHERROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
993D JOHNSON FERRY RD, SUITE 440, ATLANTA, GA 30342
(404) 257-0799
(404) 503-2280
Mailing address
993D JOHNSON FERRY RD, SUITE 440, ATLANTA, GA 30342
(404) 257-0799
(404) 503-2280
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
034944
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000480829F
—
GA
01
—
0178948003
CIGNA
—
01
—
1204
KAISER
—
01
—
136520
BLUE CHOICE FAC
—
01
—
2134623
AETNA HMO POS
—
01
—
4209167
AETNA MO PPO PIN
—
01
—
52026136006
BLUE CHOICE PROVIDER ID
—
Enumeration date
03/23/2006
Last updated
02/28/2012
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