Individual
AMOL SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-0004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT193678
PA
207RG0100X
Gastroenterology Physician
Primary
074361
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003163130A
—
GA
01
—
GA1780
SC MEDICAID
GA
Enumeration date
09/08/2008
Last updated
11/18/2015
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