Basic Information
| Provider Information | |||||||||
| NPI: | 1699943415 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOHN H SHERRILL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 560 MALCOLM BOULAVARD | ||||||||
| Address2: | PO BOX 815 | ||||||||
| City: | RUTHERFORD COLLEGE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28671 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8288742061 | ||||||||
| FaxNumber: | 8288742278 | ||||||||
| Practice Location | |||||||||
| Address1: | 560 MALCOLM BLVD | ||||||||
| Address2: | |||||||||
| City: | RUTHERFORD COLLEGE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286710815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8288742061 | ||||||||
| FaxNumber: | 8288742278 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2008 | ||||||||
| LastUpdateDate: | 07/07/2010 | ||||||||
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| AuthorizedOfficialLastName: | SHERRILL | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | H | ||||||||
| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 8288742061 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | 22973 | NC | Y | Laboratories | Clinical Medical Laboratory |
No ID Information.