Individual
ROGER J MCSHARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
271 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 968-2311
(423) 968-2311
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0101054883
VA
207RP1001X
Pulmonary Disease Physician
Primary
MD0000028511
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290000173
TRAILBLAZERS MEDICARE
VA
01
—
290008725
PALMETTO RR MEDICARE
TN
01
—
290008725
PALMETTO RR MEDICARE
VA
05
—
3804276
—
TN
Enumeration date
08/26/2005
Last updated
03/28/2014
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