Provider Demographics
NPI:1316399033
Name:SHARPE WELLNESS SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SHARPE WELLNESS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-835-7242
Mailing Address - Street 1:540 PINE ROCK TRL
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-8124
Mailing Address - Country:US
Mailing Address - Phone:678-264-7482
Mailing Address - Fax:
Practice Address - Street 1:2950 BUFORD HWY
Practice Address - Street 2:#140
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-8249
Practice Address - Country:US
Practice Address - Phone:678-835-7242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009243111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty