Individual
DANA SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 MAIN ST, PERKINSTON, MS 39573-3374
(601) 928-6362
Mailing address
PO BOX 548, PERKINSTON, MS 39573-0011
(601) 928-6362
(601) 528-8992
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0465
MS
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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