Individual
DR. VIBHUTI SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 433-1000
Mailing address
1900 WESTON LN, TUCKER, GA 30084-5505
(404) 933-2216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
073823
GA
208M00000X
Hospitalist Physician
Primary
73823
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.12626
OH LICENSE
OH
01
—
73823
GA LICENSE
GA
Enumeration date
05/12/2012
Last updated
04/08/2024
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