| Tammy Sherrard, Llc | |
|
223 N Prospect St Ste 407 Hagerstown MD 21740-3785 | |
| (240) 310-9265 | |
| (240) 203-6182 |
| Full Name | Tammy Sherrard, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 223 N Prospect St Ste 407, Hagerstown, Maryland |
| Authorized Official Name and Position | Tammy Lynn Sherrard (PROPRIETOR) |
| Authorized Official Contact | 2403109265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Sherrard, Llc 13313 Fountain Head Rd Hagerstown MD 21742-2614 Ph: (240) 310-9265 | Tammy Sherrard, Llc 223 N Prospect St Ste 407 Hagerstown MD 21740-3785 Ph: (240) 310-9265 |
| NPI Number | 1598398885 |
|---|---|
| Provider Enumeration Date | 02/15/2020 |
| Last Update Date | 02/15/2020 |
| Certification Date | 02/15/2020 |
| Medicare PECOS PAC ID | 3375974801 |
|---|---|
| Medicare Enrollment ID | O20200515001931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598398885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tammy Sherrard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023571031 PECOS PAC ID: 0446593727 Enrollment ID: I20190530001891 |
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