Provider Demographics
NPI:1144214438
Name:STRANGE-CANADY, SHERYL L (MD)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:L
Last Name:STRANGE-CANADY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1775 PARKER RD
Mailing Address - Street 2:SUITE C240
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094
Mailing Address - Country:US
Mailing Address - Phone:678-609-6282
Mailing Address - Fax:678-609-6283
Practice Address - Street 1:1775 PARKER RD
Practice Address - Street 2:SUITE C240
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094
Practice Address - Country:US
Practice Address - Phone:678-609-6282
Practice Address - Fax:678-609-6283
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2017-11-29
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Provider Licenses
StateLicense IDTaxonomies
GA050999207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00944072AMedicaid
GA08CBBHZMedicare PIN