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Individual

MRS. LATERSHA SHERRELL ST. LOUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 10TH AVE, OUT PATIENT CLINIC DEPT 7510, COLUMBUS, GA 31901-1513
(706) 321-3758
(706) 321-3739
Mailing address
1800 10TH AVE, OUT PATIENT CLINIC DEPT 7510, COLUMBUS, GA 31901-1513
(706) 321-3758
(706) 321-3739

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN 170535
GA

Other

Enumeration date
09/24/2008
Last updated
10/05/2010
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