MEDICARE: DR. PHILIP A SHERMAN M.D.

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	173000000X	Legal Medicine	MD14467	TN

General Provider Information

NPI Number	:	1184623464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP A SHERMAN M.D.

Provider Business Mailing Address
First Line	:	1720 E REELFOOT AVE
Second Line	:	SUITE 103
City	:	UNION CITY
State	:	TN
Zip	:	38261-6047
Country	:	US
Telephone Number	:	731-886-1252
Fax Number	:	731-886-1261

Provider Business Practice Location Address
First Line	:	1720 E REELFOOT AVE
Second Line	:	SUITE 103
City	:	UNION CITY
State	:	TN
Zip	:	38261-6047
Country	:	US
Telephone Number	:	731-886-1252
Fax Number	:	731-886-1261

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/15/2008

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