Organization
SHARON FOSTER GARDEPE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON FOSTER GARDEPE M.D. (OWNER/PHYSICIAN)
(256) 536-0992
Entity
Organization
Contact information
Practice address
201 SIVLEY RD SW, SUITE 510, HUNTSVILLE, AL 35801-5134
(256) 536-0992
(256) 265-2765
Mailing address
201 SIVLEY RD SW, SUITE 510, HUNTSVILLE, AL 35801-5138
(256) 536-0992
(256) 265-2765
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4558
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000013501
—
AL
01
—
0004003541
AETNA
—
01
—
51013501
BLUECROSS AND BLUESHIELD
AL
Enumeration date
09/30/2010
Last updated
04/27/2015
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