Rome Sherrod II
NPI #1558587568 in Southaven, Mississippi
Provider Information
- NPI Number
- 1558587568
- Entity Type
- Organization
- Organization Name
- Rome Sherrod II
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 835 BRANDYWINE DR
- Address 2
- #102
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-2434
- Phone
- (662) 342-1005
Authorized Official
- Name
- MS. ERICA MONTGOMERY
- Title
- OFFICE MANAGER
- Phone
- (622) 342-1005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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