MRS. SHERRY LYNN WOMACK


Address: M4861 Logistics Ave, Fort Bragg, NC 28310-0001
Phone: 9109079209

MRS. SHERRY LYNN WOMACK (NPI# 1235171869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235171869
Entity Type Individual
Full Name MRS. SHERRY LYNN WOMACK
Credential PA-C
Practice Address M4861 Logistics Ave
Fort Bragg
NC 28310-0001
Mailing Address 1615 Boone Trail Rd
Sanford
NC 27330-9200
Practice Telephone 9109079209
Mailing Telephone 9197700351
Enumeration Date 2006-06-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA01904 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address M4861 LOGISTICS AVE
City FORT BRAGG
State NC
Zip Code 28310-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013550763 Brent Francis Bachman Physician Assistant 2817 Reilly Street, Fort Bragg, NC 28310 2019-10-25
1417503459 Cooper Pasque Dentist 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 2019-08-15
1851959951 Daniel Jordan Whitaker Student in an Organized Health Care Education/Training Program Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 2019-06-03
1679054217 Christopher Cetnar Dentist Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 2018-08-22
1316427107 Alexandrea Lee Clark Dentist Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 2018-08-21
1457843831 Kevin Patrick Hudson Student in an Organized Health Care Education/Training Program 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2018-06-01
1639691462 Margaret S Greene Dentist Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 2017-07-13
1912432246 Chezdan Baker Student in an Organized Health Care Education/Training Program Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 2017-04-24
1215483094 Shantryce Monique Boatwright Crump Dental Hygienist 2617 Rielly Road, Fort Bragg, NC 28310 2016-08-31
1629435714 John Gagnier Physician Assistant Gruber Road, Building #c-1722, Fort Bragg, NC 28310 2016-01-21
Find all providers in zip 28310

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316375421 Stephen Witte Physician Assistant Gruber Rd Bldg C-1722, Fort Bragg, NC 28310-0001 2013-10-29
1619253523 Kurt Kresta Physician Assistant 2817 Rielly Rd Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2011-10-25
1265740674 Roger Leon Harrison Physician Assistant 2817 Reilly Road Mxcx-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2010-09-20
1255651063 Pamela R Koehler Physician Assistant 721a River Dr, Fort Bragg, CA 95437-5402 2010-06-03
1598891517 Jeffrey Alan Weiss Physician Assistant Womack Army Hospital, Fort Bragg, NC 28304-0000 2007-02-26
1942386107 Maureen Marnell Sevilla Physician Assistant Joel Health Clinic Src, Womack Army Medcen, Fort Bragg, NC 28310-0001 2006-10-31
1679660518 Kane D Morgan Physician Assistant Reilly Rd Bldg 4-2817, Womack Army Medical Center, Fort Bragg, NC 28310-0001 2006-10-10
1609983360 Wilda Ann Mccain Physician Assistant Womack Army Medical Center Physical Exams, Reilly Rd, Fort Bragg, NC 28310-0001 2006-08-25
1588625461 Michael Douglas Newman Physician Assistant Clark Health Clinic, Womack Army Medical Center, Fort Bragg, NC 28310-0001 2006-03-30
1760443071 David W. Myers Physician Assistant Bldg 5-4257 Bastogne Street Extension, Fort Bragg, NC 28310-0001 2006-03-29
Find all providers in FORT BRAGG

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City FORT BRAGG
Zip Code 28310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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