Provider Demographics
NPI:1952325144
Name:MEEKS, SHERRY ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:ANN
Last Name:MEEKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 DUNLAP RD NE
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-5405
Mailing Address - Country:US
Mailing Address - Phone:478-452-5433
Mailing Address - Fax:478-454-1929
Practice Address - Street 1:680 DUNLAP RD NE
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-5405
Practice Address - Country:US
Practice Address - Phone:478-452-5433
Practice Address - Fax:478-454-1929
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1753647Other1ST HEALTH
GA1753647Other1ST HEALTH
GAGRP4064Medicare ID - Type Unspecified
GAU74657Medicare UPIN