Provider Demographics
NPI:1225335201
Name:SHERRILL, JOSEPH BRYAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:BRYAN
Last Name:SHERRILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CLINE ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-4605
Mailing Address - Country:US
Mailing Address - Phone:423-902-9619
Mailing Address - Fax:
Practice Address - Street 1:12 ASHLAND TER
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-4142
Practice Address - Country:US
Practice Address - Phone:423-877-3322
Practice Address - Fax:423-877-2225
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011004466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor