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Individual

MS. SHARON M COLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 CHAD ST, CLOVERFORK CLINIC, EVARTS, KY 40828-0039
(606) 837-2108
(606) 837-9389
Mailing address
PO BOX 39, 101 CHAD ST, EVARTS, KY 40828-0039
(606) 837-2108
(606) 837-9389

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30585
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000044850
ANTHEM
KY
01
0918801
MEDICARE B
KY
05
64061708
KY
Enumeration date
07/10/2006
Last updated
10/21/2015
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