Provider Demographics
NPI:1811456353
Name:DORSEY, SHERRIAN H (MA)
Entity type:Individual
Prefix:
First Name:SHERRIAN
Middle Name:H
Last Name:DORSEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5447 GA HIGHWAY 29
Mailing Address - Street 2:
Mailing Address - City:SOPERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30457-5231
Mailing Address - Country:US
Mailing Address - Phone:478-279-4951
Mailing Address - Fax:
Practice Address - Street 1:5447 GA HIGHWAY 29
Practice Address - Street 2:
Practice Address - City:SOPERTON
Practice Address - State:GA
Practice Address - Zip Code:30457-5231
Practice Address - Country:US
Practice Address - Phone:478-279-4951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator