Provider Demographics
NPI:1538126636
Name:SHARP & STONE OB/GYN, P.C.
Entity Type:Organization
Organization Name:SHARP & STONE OB/GYN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:205-933-4020
Mailing Address - Street 1:2700 10TH AVE SOUTH
Mailing Address - Street 2:POB 2 SUITE 306
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1200
Mailing Address - Country:US
Mailing Address - Phone:205-933-4020
Mailing Address - Fax:205-933-4022
Practice Address - Street 1:2700 10TH AVE S
Practice Address - Street 2:POB 2 SUITE 306
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1200
Practice Address - Country:US
Practice Address - Phone:205-933-4020
Practice Address - Fax:205-933-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1538126636Medicare PIN