Provider Demographics
NPI:1922035351
Name:SHERMAN, STANLEY W (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:W
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2801 N DECATUR RD
Mailing Address - Street 2:SUITE 295
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5949
Mailing Address - Country:US
Mailing Address - Phone:404-778-7667
Mailing Address - Fax:404-778-7668
Practice Address - Street 1:2801 N DECATUR RD
Practice Address - Street 2:SUITE 295
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5949
Practice Address - Country:US
Practice Address - Phone:404-778-7667
Practice Address - Fax:404-778-7668
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA016282207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00211285CMedicaid
408113718OtherRAILROAD MEDICARE NUMBER
GA476691OtherBCBS NUMBER
GA476691OtherBCBS NUMBER