Healthcare Provider Details

I. General information

NPI: 1396852588
Provider Name (Legal Business Name): C WILLIS SHERRER, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 HOSPITAL DR SUITE 700
HIGHLANDS NC
28741-7601
US

IV. Provider business mailing address

171 HOSPITAL DR SUITE 700
HIGHLANDS NC
28741-7601
US

V. Phone/Fax

Practice location:
  • Phone: 828-526-1495
  • Fax:
Mailing address:
  • Phone: 828-526-1495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: NATALIE SCHLEY
Title or Position: PHY BILLING MGR
Credential:
Phone: 828-526-1495