Healthcare Provider Details

I. General information

NPI: 1073570263
Provider Name (Legal Business Name): JO ANNE SHERMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3660 J DEWEY GRAY CIR
AUGUSTA GA
30909-6424
US

IV. Provider business mailing address

3225 WHEELER ROAD
AUGUSTA GA
30909
US

V. Phone/Fax

Practice location:
  • Phone: 706-210-8884
  • Fax: 706-210-8863
Mailing address:
  • Phone: 706-589-5076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number037686
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number037686
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: