Provider Demographics
NPI:1679542591
Name:TAYLOR AKERS, SHERRY GWYN (MD)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:GWYN
Last Name:TAYLOR AKERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:GWYN
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:119 AMBULANCE DR STE 202
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3857
Mailing Address - Country:US
Mailing Address - Phone:770-838-8710
Mailing Address - Fax:
Practice Address - Street 1:100 PROFESSIONAL PL STE 303
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-3872
Practice Address - Country:US
Practice Address - Phone:770-812-5783
Practice Address - Fax:770-812-5784
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0386302084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00609397AMedicaid
GAF80266Medicare UPIN
GA00609397AMedicaid