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NPI Code Detail

MEDICARE: MARK SHERMER, M.D.,P.C.

MEDICARE: MARK SHERMER, M.D.,P.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
1207RN0300XNephrology Physician029065TN

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 : 1669646634
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARK SHERMER, M.D.,P.C.
Provider Business Mailing Address
First Line : 6005 PARK AVE STE 807
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-5218
Country : US
Telephone Number : 901-762-0504
Fax Number : 901-682-9460
Provider Business Practice Location Address
First Line : 6005 PARK AVE STE 807
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-5218
Country : US
Telephone Number : 901-762-0504
Fax Number : 901-682-9460
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARK SHERMER
Credential : M.D.
Telephone Number : 901-762-0504
Provider Enumeration Date : 04/21/2008
Last Update Date : 04/21/2008

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Directions to “MARK SHERMER, M.D.,P.C. ” Practice Location

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