Provider Demographics
NPI:1497778070
Name:SHERMAN, STEWART ELLIOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:STEWART
Middle Name:ELLIOTT
Last Name:SHERMAN
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 1:200 W HARRISON ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-3331
Mailing Address - Country:US
Mailing Address - Phone:843-632-1551
Mailing Address - Fax:
Practice Address - Street 1:200 W HARRISON ST
Practice Address - Street 2:SUITE D
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-3331
Practice Address - Country:US
Practice Address - Phone:843-632-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC030574863OtherBLUE CROSS BLUE SHIELD