Individual
REBECCA S SHARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 929-2584
(423) 722-2060
Mailing address
395 FOREST CIR, SUITE 100, JONESBOROUGH, TN 37659-1439
(423) 753-0721
(423) 753-0751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17752
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q003277
—
TN
Enumeration date
04/22/2006
Last updated
05/22/2019
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