Provider Demographics
NPI:1316961063
Name:SHERMAN, ROBY ANN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBY
Middle Name:ANN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 CATES ST
Mailing Address - Street 2:PO BOX 1777
Mailing Address - City:DUNLAP
Mailing Address - State:TN
Mailing Address - Zip Code:37327-6004
Mailing Address - Country:US
Mailing Address - Phone:423-949-2171
Mailing Address - Fax:
Practice Address - Street 1:435 LIFESTYLE LANE
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:GA
Practice Address - Zip Code:30757-0129
Practice Address - Country:US
Practice Address - Phone:706-820-1493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031663207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAC21744Medicare UPIN