Provider Demographics
NPI:1932491446
Name:SHERK, CECIL SIDNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:CECIL
Middle Name:SIDNEY
Last Name:SHERK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4559 PITTMAN CENTER RD
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-9102
Mailing Address - Country:US
Mailing Address - Phone:865-436-7637
Mailing Address - Fax:865-436-7637
Practice Address - Street 1:4559 PITTMAN CENTER RD
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37876-9102
Practice Address - Country:US
Practice Address - Phone:865-436-7637
Practice Address - Fax:865-436-7637
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000036954207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine