Provider Demographics
NPI:1790701936
Name:SHERROW, SHEVONDA T (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEVONDA
Middle Name:T
Last Name:SHERROW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2158 NORTHGATE PARK LN
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-6911
Mailing Address - Country:US
Mailing Address - Phone:423-771-9680
Mailing Address - Fax:423-713-7332
Practice Address - Street 1:2158 NORTHGATE PARK LN
Practice Address - Street 2:SUITE 300
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-6911
Practice Address - Country:US
Practice Address - Phone:423-771-9680
Practice Address - Fax:423-713-7332
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2006-00022207V00000X
TN47600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology