Provider Demographics
NPI:1518940915
Name:TAYLOR, SHERRY PITTMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:PITTMAN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:ARLENE
Other - Last Name:PITTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3400 OLD MILTON PKWY STE 475
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3707
Mailing Address - Country:US
Mailing Address - Phone:470-554-7870
Mailing Address - Fax:470-554-7872
Practice Address - Street 1:3400 OLD MILTON PKWY STE 475
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3707
Practice Address - Country:US
Practice Address - Phone:470-554-7870
Practice Address - Fax:470-554-7872
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA035151174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000623125EMedicaid
GA000623125DMedicaid
GA000623125EMedicaid
GA000623125EMedicaid