Individual
ROBERT EDWARD SHERVETTE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
223 N ANDERSON DR, SWAINSBORO, GA 30401-4440
(478) 289-2683
(478) 289-2681
Mailing address
223 N ANDERSON DR, P O BOX 1259, SWAINSBORO, GA 30401-4440
(478) 289-2683
(478) 289-2681
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
030423
GA
2084P0804X
Child & Adolescent Psychiatry Physician
14738
SC
2084P0804X
Child & Adolescent Psychiatry Physician
32430
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030423
GA LICENSE
GA
01
—
14738
SC LICENSE
SC
01
—
32430
NC LICENSE
NC
Enumeration date
10/03/2006
Last updated
10/20/2010
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