Individual
ROBERT JACKSON SHERERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4835 HIGHWAY 17, MURRELLS INLET, SC 29576-5037
(843) 449-1640
(843) 449-1605
Mailing address
1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
(843) 402-0227
(843) 402-0232
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
34460
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440003773
RR MEDICARE
—
05
—
Q23772
—
SC
Enumeration date
12/09/2005
Last updated
11/01/2012
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