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Organization
CLINTON H. SHARP, III, M.D
Active
Organization
CLINTON H. SHARP, III, M.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON HARRY SHARP III M.D. (OWNER)
(985) 641-8191
Entity
Organization
Contact information
Practice address
1051 GAUSE BLVD, SUITE 380, SLIDELL, LA 70458-2951
(985) 641-8191
(985) 641-9812
Mailing address
1051 GAUSE BLVD, SUITE 380, SLIDELL, LA 70458-2951
(985) 641-8191
(985) 641-9812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.016693
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386405
—
LA
Enumeration date
03/06/2007
Last updated
08/22/2020
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