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Organization

J. NEAL SHARPE, M.D. SURGICAL WOUND SPECIALIST, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
J. NEAL SHARPE M.D. (OWNER)
(502) 412-2995
Entity
Organization

Contact information

Practice address
10821 PLANTSIDE DR, SUITE 104, LOUISVILLE, KY 40299-6132
(502) 412-2995
(502) 412-8025
Mailing address
10821 PLANTSIDE DR, SUITE 104, LOUISVILLE, KY 40299-6132
(502) 412-2995
(502) 412-8025

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24075
KY
363L00000X
Nurse Practitioner
3002826
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201015970A
IN
05
7100142370
KY
05
7100153120
KY
Enumeration date
11/11/2010
Last updated
05/18/2011
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