Provider Demographics
NPI:1437334026
Name:JOHN D. SHERROD, M.D., L.L.C.
Entity Type:Organization
Organization Name:JOHN D. SHERROD, M.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-476-2481
Mailing Address - Street 1:27625 HIGHWAY 98
Mailing Address - Street 2:BUILDING B
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4816
Mailing Address - Country:US
Mailing Address - Phone:251-300-2300
Mailing Address - Fax:251-300-2301
Practice Address - Street 1:27625 HIGHWAY 98
Practice Address - Street 2:BUILDING B
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4816
Practice Address - Country:US
Practice Address - Phone:251-300-2300
Practice Address - Fax:251-300-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty