Individual
DONALD A SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 OAK RIDGE TPKE, SUITE A300, OAK RIDGE, TN 37830-6957
(865) 482-2129
(865) 482-4036
Mailing address
800 OAK RIDGE TPKE, SUITE A300, OAK RIDGE, TN 37830-6957
(865) 482-2129
(865) 482-4036
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000009101
TN
207N00000X
Dermatology Physician
Primary
MD9101
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070000466
RAILROAD MEDICARE
—
01
—
2007072
BLUECROSS OF TENNESSEE ID
—
01
—
621230317
TAX ID
—
Enumeration date
03/10/2006
Last updated
10/07/2016
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