Organization
THE SHARON CLINIC, PLLC
Active
Other names
The Sharon Clinic, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANNETTEE GIBBONS (BUSINESS MANAGER)
(731) 456-2006
Entity
Organization
Contact information
Practice address
5320 US HIGHWAY 45, SHARON, TN 38255-4064
(731) 456-2006
Mailing address
PO BOX 297, SHARON, TN 38255-0297
(731) 456-2006
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00127
TN
Other
Enumeration date
01/19/2007
Last updated
11/27/2013
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