Provider Demographics
NPI:1407225048
Name:SCALES, SHARON V
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:V
Last Name:SCALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 303
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:VA
Mailing Address - Zip Code:24165-0303
Mailing Address - Country:US
Mailing Address - Phone:276-957-5157
Mailing Address - Fax:276-957-7027
Practice Address - Street 1:65 SCALES PENN AVENUE
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:VA
Practice Address - Zip Code:24165-0303
Practice Address - Country:US
Practice Address - Phone:276-957-5157
Practice Address - Fax:276-957-7027
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker