Provider Demographics
NPI:1275820722
Name:HONG, SHARON N (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:N
Last Name:HONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2550 FLOWOOD DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9303
Mailing Address - Country:US
Mailing Address - Phone:601-420-0034
Mailing Address - Fax:601-420-5482
Practice Address - Street 1:2550 FLOWOOD DR
Practice Address - Street 2:SUITE 300
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9303
Practice Address - Country:US
Practice Address - Phone:601-420-0034
Practice Address - Fax:601-420-5482
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS23263207RR0500X
MST-2449207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MST-2449OtherMS TEMP MEDICAL LICENSE