Provider Demographics
NPI:1154489912
Name:SHERMAN, SCOTT E SR (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:E
Last Name:SHERMAN
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:SCOTT
Other - Middle Name:E
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3029 DEANS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-2921
Mailing Address - Country:US
Mailing Address - Phone:706-793-0141
Mailing Address - Fax:706-798-7912
Practice Address - Street 1:3029 DEANS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-2921
Practice Address - Country:US
Practice Address - Phone:706-793-0141
Practice Address - Fax:706-798-7912
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR001767111N00000X
SC861111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH1767Medicaid
SCCH1767Medicaid