Healthcare Provider Details

I. General information

NPI: 1437245016
Provider Name (Legal Business Name): JAMES C. SHERMAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 01/21/2021
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BLACKBURN DR
MARTINEZ GA
30907-8201
US

IV. Provider business mailing address

1430 B HARPER STREET
AUGUSTA GA
30901
US

V. Phone/Fax

Practice location:
  • Phone: 706-854-8340
  • Fax: 706-724-9562
Mailing address:
  • Phone: 706-724-5451
  • Fax: 706-724-9562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number031122
License Number StateGA

VIII. Authorized Official

Name: JAMES CARMICHAEL SHERMAN
Title or Position: PHYSICIAN
Credential: MD
Phone: 706-724-5451