Provider Demographics
NPI:1548038680
Name:SHEDD, CHERYL
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:SHEDD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 FRANKLIN HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-4669
Mailing Address - Country:US
Mailing Address - Phone:931-581-1931
Mailing Address - Fax:
Practice Address - Street 1:73 FRANKLIN HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-4669
Practice Address - Country:US
Practice Address - Phone:931-581-1931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic