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Physician Compare National (NPI:1316276652)

HEALTHCARE PROVIDER: SHERI SHURDEN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1316276652
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2264699131
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120203000399
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SHURDEN
Individual professional last name
Provider First Name SHERI
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2000
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 418 BN APPLEGATE ST
Group Practice or individual's line 1 address
City WINONA
Group Practice or individual's city
State MS
Group Practice or individual's state
Zip Code 389671827
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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