| Jerome A Sherard Md Pc | |
|
340 N Holtzclaw Ave Chattanooga TN 37404-2305 | |
| (423) 624-3555 | |
| (423) 624-7030 |
| Full Name | Jerome A Sherard Md Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 340 N Holtzclaw Ave, Chattanooga, Tennessee |
| Authorized Official Name and Position | Jerome A Sherard (SOLE PROPRIETOR) |
| Authorized Official Contact | 4236243555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome A Sherard Md Pc 340 N Holtzclaw Ave Chattanooga TN 37404-2305 Ph: (423) 624-3555 | Jerome A Sherard Md Pc 340 N Holtzclaw Ave Chattanooga TN 37404-2305 Ph: (423) 624-3555 |
| NPI Number | 1962620302 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 11/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962620302 | NPI | - | NPPES |
| 300040361B | Medicaid | GA | |
| 3015325 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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