Individual
MICHAEL JOHN SHARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 BELLEVUE RD, 16 ERIN OFFICE PARK, DUBLIN, GA 31021-2885
(478) 275-2694
Mailing address
2400 BELLEVUE RD STE 21A, DUBLIN, GA 31021-2890
(478) 275-7202
(478) 274-8418
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
038069
GA
207ND0101X
MOHS-Micrographic Surgery Physician
038609
GA
207ND0900X
Dermatopathology Physician
038069
GA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
038609
GA
207NP0225X
Pediatric Dermatology Physician
038609
GA
207NS0135X
Procedural Dermatology Physician
038609
GA
208D00000X
General Practice Physician
038069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000697309L
—
GA
01
—
DC4061
RAILROAD MEDICARE
GA
01
—
P00179587
RAILROAD MEDICARE
GA
Enumeration date
09/09/2005
Last updated
04/23/2015
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