Provider Demographics
NPI:1720106479
Name:HARMON, SHERRY GOINS (DO)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:GOINS
Last Name:HARMON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 N WINDWARD CT
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-6151
Mailing Address - Country:US
Mailing Address - Phone:864-877-4015
Mailing Address - Fax:864-268-3868
Practice Address - Street 1:2720 WADE HAMPTON BLVD # B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-1152
Practice Address - Country:US
Practice Address - Phone:864-268-4335
Practice Address - Fax:864-268-3868
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC441156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician