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Organization

SHARP MEDICAL PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RHONDA LEE SHARP MD (OWNER PHYSICIAN)
(260) 463-4896
Entity
Organization

Contact information

Practice address
2600 N DETROIT ST, LAGRANGE, IN 46761
(260) 463-4896
(260) 463-5242
Mailing address
2600 N DETROIT ST, PO BOX 168, LAGRANGE, IN 46761
(260) 463-4896
(260) 463-5242

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1047132
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200102520
IN
Enumeration date
01/23/2007
Last updated
02/15/2010
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