Provider Demographics
NPI:1093747594
Name:SHERRARD, LINDSAY HILL (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:HILL
Last Name:SHERRARD
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 1:390 S MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-1766
Mailing Address - Country:US
Mailing Address - Phone:540-484-4800
Mailing Address - Fax:540-484-4844
Practice Address - Street 1:390 S MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1766
Practice Address - Country:US
Practice Address - Phone:540-484-4800
Practice Address - Fax:540-484-4844
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCTL28198207Q00000X
VA0101243284207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC281983Medicaid
VAMC10851Medicare PIN
SCAA27021127Medicare UPIN
SCRES000Medicare UPIN
SCAA27021124Medicare PIN