Organization
DR. TERRY L. SHARPE M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY L SHARPE M.D, (OWNER)
(770) 507-8481
Entity
Organization
Contact information
Practice address
110 WALTER WAY UNIT 98, STOCKBRIDGE, GA 30281-9500
(770) 507-8481
Mailing address
110 WALTER WAY UNIT 98, STOCKBRIDGE, GA 30281-9500
(770) 507-8481
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000303806C
—
GA
Enumeration date
10/30/2008
Last updated
06/03/2024
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