Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 019602 | GA |
Y | 208000000X | Pediatrician | 019602 | GA |
N | 2080P0210X | Pediatric Nephrologist | 019602 | GA |
NPI | 1497791800 |
---|---|
Provider Name | Dr. Julius Sherwinter |
First Address | Dunwoody, GA 30338 |
Second Address | Dunwoody, GA 30338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 18/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000162885D | (05) | GA |
D30803 | (02) |