Organization
JEROME A SHERARD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME A SHERARD MD (SOLE PROPRIETOR)
(423) 624-3555
Entity
Organization
Contact information
Practice address
340 N HOLTZCLAW AVE, CHATTANOOGA, TN 37404-2305
(423) 624-3555
(423) 624-7030
Mailing address
340 N HOLTZCLAW AVE, CHATTANOOGA, TN 37404-2305
(423) 624-3555
(423) 624-7030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040361B
—
GA
05
—
3015325
—
TN
Enumeration date
04/23/2007
Last updated
11/19/2010
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