MEDICARE: SHERRY CAUSEY

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	363LF0000X	Family Nurse Practitioner	APN1803	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00284620	OTHER	SC	RAILROAD MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1225143563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY CAUSEY

Provider Business Mailing Address
First Line	:	103 N. KEMPER STREET
Second Line	:
City	:	LAKE VIEW
State	:	SC
Zip	:	29563
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 N. KEMPER STREET
Second Line	:
City	:	LAKE VIEW
State	:	SC
Zip	:	29563
Country	:	US
Telephone Number	:	843-759-2189
Fax Number	:

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	09/01/2017

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Directions to “ SHERRY CAUSEY ” Practice Location

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