Provider Demographics
NPI:1083629471
Name:BARINOWSKI, SHERRY T (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:T
Last Name:BARINOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 N BELAIR RD
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-3188
Mailing Address - Country:US
Mailing Address - Phone:706-854-2160
Mailing Address - Fax:706-854-2930
Practice Address - Street 1:465 N BELAIR RD
Practice Address - Street 2:SUITE 1C
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3188
Practice Address - Country:US
Practice Address - Phone:706-854-2160
Practice Address - Fax:706-854-2930
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA042521207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00728274PMedicaid
GA00728274PMedicaid
GA08BBWZWMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER