Provider Demographics
NPI:1649433384
Name:ROSS, SHERRY SEDBERRY (MD)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:SEDBERRY
Last Name:ROSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL
Mailing Address - Street 2:170 MANNING DRIVE, CB 7235
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7235
Mailing Address - Country:US
Mailing Address - Phone:919-962-7876
Mailing Address - Fax:919-843-5956
Practice Address - Street 1:1301 CENTRAL DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4159
Practice Address - Country:US
Practice Address - Phone:919-718-9512
Practice Address - Fax:919-718-9516
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD0355272088P0231X
NC2008-018822088P0231X
NC200801882208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology