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Individual

JOE T SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-9905
(256) 265-9910
Mailing address
PO BOX 11407, DRAWER 141, BIRMINGHAM, AL 35246-0141

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00008873
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009935581
AL
01
051512936
BCBS
AL
01
051530249
BCBS PROVIDER NUMBER
AL
05
051552979
AL
05
051556508
AL
01
4037283
AETNA
AL
Enumeration date
09/21/2005
Last updated
07/06/2009
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