| Sherry J. Viduya Md | |
|
9275 D Medical Plaza Dr. North Charleston SC 29406 | |
| (843) 797-6444 | |
| (843) 779-6438 |
| Full Name | Sherry J. Viduya Md |
|---|---|
| Speciality | Family Medicine |
| Location | 9275 D Medical Plaza Dr., North Charleston, South Carolina |
| Authorized Official Name and Position | Sara Elizabeth Maynor-hardy (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8432258320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherry J. Viduya Md Po Box 13955 Charleston SC 29422-3955 Ph: (843) 225-8304 | Sherry J. Viduya Md 9275 D Medical Plaza Dr. North Charleston SC 29406 Ph: (843) 797-6444 |
| NPI Number | 1821443896 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821443896 | NPI | - | NPPES |
| GP6738 | Medicaid | SC | |
| 195835 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
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