MEDICARE: JAMES CARMICHAEL 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	208600000X	Surgery Physician	031122	GA

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	:	1447244264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES CARMICHAEL SHERMAN M.D.

Provider Business Mailing Address
First Line	:	1430 HARPER ST
Second Line	:	BUILDING B
City	:	AUGUSTA
State	:	GA
Zip	:	30901-0617
Country	:	US
Telephone Number	:	706-724-5451
Fax Number	:	706-724-9562

Provider Business Practice Location Address
First Line	:	501 BLACKBURN DR
Second Line	:
City	:	MARTINEZ
State	:	GA
Zip	:	30907-8201
Country	:	US
Telephone Number	:	706-854-8340
Fax Number	:	706-854-8341

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	11/23/2020

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