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NPI Code Detail

MEDICARE: DR. SHERRI LYNETTE STUDSTILL MD

MEDICARE: DR. SHERRI LYNETTE STUDSTILL MD
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
1207Q00000XFamily Medicine Physician66085GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215190343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERRI LYNETTE STUDSTILL MD
Provider Business Mailing Address
First Line : 6509 GATEWAY RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-5681
Country : US
Telephone Number : 706-243-0174
Fax Number : 706-243-0178
Provider Business Practice Location Address
First Line : 6509 GATEWAY RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-5681
Country : US
Telephone Number : 706-243-0174
Fax Number : 706-243-0178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2008
Last Update Date : 06/03/2014

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