Provider Demographics
NPI:1245489459
Name:HAMLIN, SHERROD MARIAN (DO)
Entity type:Individual
Prefix:DR
First Name:SHERROD
Middle Name:MARIAN
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2745 W. RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3038
Mailing Address - Country:US
Mailing Address - Phone:585-225-5252
Mailing Address - Fax:585-225-5256
Practice Address - Street 1:2745 W. RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3038
Practice Address - Country:US
Practice Address - Phone:585-225-5252
Practice Address - Fax:585-225-5256
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY228263207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine