Provider Demographics
NPI:1164583555
Name:SWEET, SHERRIE D (RD, LD, CLC)
Entity Type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:D
Last Name:SWEET
Suffix:
Gender:F
Credentials:RD, LD, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 RIVERCHASE DRIVE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:39819
Mailing Address - Country:US
Mailing Address - Phone:229-248-1297
Mailing Address - Fax:
Practice Address - Street 1:1306 SOUTH SLAPPEY BLVD
Practice Address - Street 2:SUITE G BOX 7
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701
Practice Address - Country:US
Practice Address - Phone:229-430-4111
Practice Address - Fax:229-430-3866
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD002054133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered