Provider Demographics
NPI:1720205016
Name:WEBB, SHARON WOODS (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:WOODS
Last Name:WEBB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:W
Other - Last Name:RIVAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3 SAINT FRANCIS DR STE 490
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3973
Mailing Address - Country:US
Mailing Address - Phone:864-220-4263
Mailing Address - Fax:
Practice Address - Street 1:3 SAINT FRANCIS DR STE 490
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3973
Practice Address - Country:US
Practice Address - Phone:864-220-4263
Practice Address - Fax:833-791-4085
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30752207T00000X
PAMT179442207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC307527Medicaid
SCAA29158946Medicare PIN
SC307527Medicaid