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General NPI Number Information
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NPI Number | 1346041035
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Entity Type | Individual
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Provider Name | CHRISTOPHER LUKE SHERRILL FNP-C
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Gender | Male
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 2129 FRIENDSHIP RD
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City | BUFORD
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State | GA
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Zip | 30519-2600
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Country | US
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Telephone | 404-550-3460
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Fax |
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Provider Business Mailing Address
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Address Line | 187 LIBERTY DR
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City | JEFFERSON
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State | GA
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Zip | 30549-5555
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Country | US
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Telephone | 770-209-2787
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP335902
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN335902
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License Number State | GA
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