Individual
HENRY SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 926-8686
Mailing address
4215 COUNTRY HARVEST DR, BATON ROUGE, LA 70816-4951
(225) 252-4590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
305566
LA
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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