Individual
MR. DARYL SHERROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 HABERSHAM DR STE D, FAYETTEVILLE, GA 30214-7341
(470) 878-5051
Mailing address
105 HABERSHAM DR STE D, FAYETTEVILLE, GA 30214-7341
(470) 878-5051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
049976
GA
207Q00000X
Family Medicine Physician
Primary
49976
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00903658A
—
GA
Enumeration date
04/11/2006
Last updated
09/15/2023
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