Individual
RICHARD SCOTT SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1103 16TH AVE SE, DECATUR, AL 35601-3595
(256) 350-0362
Mailing address
1103 16TH AVE SE, DECATUR, AL 35601-3595
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
00023285
AL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
00023285
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
00023285
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51094904
BLUECROSS BLUESHIELD AL
AL
Enumeration date
11/20/2006
Last updated
10/22/2007
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