Organization
AZALEA WOMENS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL SHARON M.D. (PHYSICIAN)
(229) 242-8888
Entity
Organization
Contact information
Practice address
2307 N PATTERSON ST, VALDOSTA, GA 31602-2510
(229) 242-8888
(229) 242-0069
Mailing address
2307 N PATTERSON ST, VALDOSTA, GA 31602-2510
(229) 242-8888
(229) 242-0069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040845
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300035443A
—
GA
01
—
3948
GROUP NUMBER
GA
Enumeration date
05/17/2007
Last updated
11/06/2012
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