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NPI Code Detail

MEDICARE: WILLIAM SHERROD M.D.

MEDICARE: WILLIAM SHERROD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician200101497NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275531006
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM SHERROD M.D.
Provider Business Mailing Address
First Line : PO BOX 3439
Second Line :
City : NORTH MYRTLE BEACH
State : SC
Zip : 29582-0439
Country : US
Telephone Number : 843-839-4447
Fax Number : 843-399-0123
Provider Business Practice Location Address
First Line : 240 HOSPITAL DR NE
Second Line :
City : BOLIVIA
State : NC
Zip : 28422-8346
Country : US
Telephone Number : 843-497-5929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 04/22/2015

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