MEDICARE: SHERWOOD URGENT CARE LLC

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
1	207Q00000X	Family Medicine Physician
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1679180020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERWOOD URGENT CARE LLC

Provider Business Mailing Address
First Line	:	1818 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-8321
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-8321
Country	:	US
Telephone Number	:	225-278-3775
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. SEAN NICHOLAS DEBARROS
Credential	:	MD
Telephone Number	:	225-278-3775

Provider Enumeration Date	:	09/29/2020
Last Update Date	:	02/08/2022

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