MEDICARE: SHERRY D. SHERMAN P.A-C

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	363A00000X	Physician Assistant	009359-1	NY

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	:	1376571547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY D. SHERMAN P.A-C

Provider Business Mailing Address
First Line	:	1658 W HIGHWAY 160
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-8024
Country	:	US
Telephone Number	:	803-548-3636
Fax Number	:	803-548-3703

Provider Business Practice Location Address
First Line	:	1658 W HIGHWAY 160
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-8024
Country	:	US
Telephone Number	:	803-548-3636
Fax Number	:	803-548-3703

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	02/25/2026

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