MEDICARE: DR. CHARLES E SHERMAN 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
1	207R00000X	Internal Medicine Physician	12062	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51029131	OTHER	AL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851328579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES E SHERMAN MD

Provider Business Mailing Address
First Line	:	1903 HAND AVE
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-4112
Country	:	US
Telephone Number	:	251-937-7970
Fax Number	:	251-937-9260

Provider Business Practice Location Address
First Line	:	1903 HAND AVE
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-4112
Country	:	US
Telephone Number	:	251-937-7970
Fax Number	:	251-937-9260

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	02/02/2011

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