Provider Demographics
NPI:1285462382
Name:PAULL, SHERRY CRAIG
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:CRAIG
Last Name:PAULL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 FOREST RD
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-2943
Mailing Address - Country:US
Mailing Address - Phone:304-374-1713
Mailing Address - Fax:
Practice Address - Street 1:135 FOREST RD
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-2943
Practice Address - Country:US
Practice Address - Phone:304-374-1713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist