Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD0000034326 | TN |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 34326 | TN |
NPI | 1275694747 |
---|---|
Provider Name | Dr. James Scott Sherrer |
First Address | Hixson, TN 37343-5470 |
Second Address | Ooltewah, TN 37363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 27/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H23755 | (02) | TN |