Individual
SHARON A RISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5900 GARNERS FERRY RD, COLUMBIA, SC 29209-1301
(803) 695-5450
(803) 695-5469
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13058
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13058
RISINGER STATE LICENSE #
SC
05
—
130584
—
SC
Enumeration date
05/01/2006
Last updated
09/01/2010
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