Healthcare Provider Details

I. General information

NPI: 1699938159
Provider Name (Legal Business Name): JULIA KRISTINA CATHERINE SHERRILL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2008
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 KIRKWOOD AVE NW
LENOIR NC
28645-5121
US

IV. Provider business mailing address

415 SHADY BARK LN
BOONE NC
28607-8086
US

V. Phone/Fax

Practice location:
  • Phone: 828-754-0101
  • Fax: 828-757-0402
Mailing address:
  • Phone: 828-406-9689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN7875
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLL31130
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2014-02281
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: