Sherwood Clinical, Llc in Demorest - Parenteral & Enteral Nutrition
Sherwood Clinical, Llc - NPI 1477539609
Sherwood Clinical, Llc is a Parenteral & Enteral Nutrition in Demorest, Georgia. Sherwood Clinical, Llc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Sherwood Clinical, Llc is 1477539609. The last update date is 2018-01-19.
Sherwood Clinical, Llc's current location address is 415 Fisk Ave, Demorest, Georgia. You can contact this provider via phone number 7067769127 and fax number 7067769027. The mailing address for Sherwood Clinical, Llc is 415 Fisk Ave, Demorest, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sherwood Clinical, Llc |
|---|---|
| Address | 415 Fisk Ave, Demorest, Georgia |
| Phone Number | 7067769127 |
| Fax Number | 7067769027 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GM, OWNER |
|---|---|
| Authorized Official Name | Carter Kathy |
| Telephone Number | 7067769127 |
NPI Number Detail
| NPI Number | 1477539609 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2018-01-19 |
Provider Mailing Address Detail
| Address | 415 Fisk Ave |
|---|---|
| City | Demorest |
| State | Georgia (GA) |
| Post Code | 305356053 |
| Phone Number | 7067769127 |
| Fax Number | 7067769027 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | PHRE007370 |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DE1191 | SC | -- | |
| 52064755001 | GA | BC/BS PROVIDER ID | |
| 5962021 | AETNA PROVIDER ID | ||
| 00493688B | GA | -- | |
| 7G7370 | SC | -- |
Post Comment/ Review Below
What is the Sherwood Clinical, Llc's 1477539609?
The Sherwood Clinical, Llc's NPI (National Provider Identifier) Number is 1477539609. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Sherwood Clinical, Llc is geographically located?
The Sherwood Clinical, Llc is physically situated at the following location: 415 Fisk Ave, Demorest, GA, 305356053.
What is Sherwood Clinical, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sherwood Clinical, Llc is Parenteral & Enteral Nutrition, and the taxonomy code that categorizes this field of expertise is 332Bp3500X.
When did Sherwood Clinical, Llc receive its 1477539609 assignment?
The Sherwood Clinical, Llc was assigned its 1477539609 on 2005-12-20, which is the date when this unique identifier was issued to the organization.
When was the information related to Sherwood Clinical, Llc most recently updated or refreshed?
The details pertaining to the Sherwood Clinical, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-01-19.