Provider Demographics
NPI:1902529290
Name:FRANK SHARP
Entity Type:Organization
Organization Name:FRANK SHARP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-804-1443
Mailing Address - Street 1:1025 W MEETING ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-2246
Mailing Address - Country:US
Mailing Address - Phone:803-804-1443
Mailing Address - Fax:803-283-4329
Practice Address - Street 1:1025 W MEETING ST STE 200
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2246
Practice Address - Country:US
Practice Address - Phone:803-804-1443
Practice Address - Fax:803-283-4329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT60573Medicaid