Organization
SHEL SHARPE MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEL SHARPE MD (OWNER/PRESIDENT)
(770) 383-3311
Entity
Organization
Contact information
Practice address
39 SHOALS FERRY RD SE, ROME, GA 30161-9199
(770) 383-3311
Mailing address
39 SHOALS FERRY RD SE, ROME, GA 30161-9199
(770) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
020151
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366799058
NPI
GA
01
—
1508956558
NPI
GA
Enumeration date
08/13/2012
Last updated
09/04/2012
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