MEDICARE: SHERRY LYNN MILLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	D0032749	MD

General Provider Information

NPI Number	:	1073283909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY LYNN MILLS

Provider Business Mailing Address
First Line	:	2826 JUTLAND RD
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-2840
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2826 JUTLAND RD
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-2840
Country	:	US
Telephone Number	:	301-237-2839
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2021
Last Update Date	:	09/13/2021

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Directions to “ SHERRY LYNN MILLS ” Practice Location

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