Organization
JERI L SHEFFIELD, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERI LYNN SHEFFIELD D.O. (PRESIDENT)
(229) 247-1163
Entity
Organization
Contact information
Practice address
4066 FOXBOROUGH BLVD, VALDOSTA, GA 31602-6740
(229) 247-1163
(229) 249-9799
Mailing address
4066 FOXBOROUGH BLVD, VALDOSTA, GA 31602-6740
(229) 247-1163
(229) 249-9799
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
047945
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000850121A
—
GA
Enumeration date
11/17/2012
Last updated
11/17/2012
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