Healthcare Provider Details

I. General information

NPI: 1922913664
Provider Name (Legal Business Name): MRS. SHERI H POLLARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 S CHAPMAN ST
GREENSBORO NC
27403-2209
US

IV. Provider business mailing address

3516 LONG RUN DR
GREENSBORO NC
27405-9682
US

V. Phone/Fax

Practice location:
  • Phone: 336-274-3522
  • Fax:
Mailing address:
  • Phone: 336-274-3522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License NumberC24878
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: