Provider Demographics
NPI:1013150622
Name:AUSTIN, SHERIE H (MD)
Entity type:Individual
Prefix:
First Name:SHERIE
Middle Name:H
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHERIE
Other - Middle Name:
Other - Last Name:HORVATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-0800
Mailing Address - Country:US
Mailing Address - Phone:804-695-0305
Mailing Address - Fax:804-695-0804
Practice Address - Street 1:8264 GEORGE WASHINGTON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4127
Practice Address - Country:US
Practice Address - Phone:804-695-0305
Practice Address - Fax:804-695-0804
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101252462207R00000X, 208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program