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Individual
DR. SHARON E MINNICK
Active
Individual
DR. SHARON E MINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006516
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100525317
AMERIGROUP
—
05
—
264708058A
—
GA
05
—
264708058B
—
GA
01
—
339864
WELLCARE
—
01
—
4110528
BCBS TN
—
01
—
52853385001
BCBS GA
—
Enumeration date
12/04/2006
Last updated
06/21/2022
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