Provider Demographics
NPI:1780673830
Name:SHARP, JOHN CALVIN JR (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CALVIN
Last Name:SHARP
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6301 ABERCORN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5701
Mailing Address - Country:US
Mailing Address - Phone:912-352-8700
Mailing Address - Fax:912-650-6805
Practice Address - Street 1:8 HOSPITAL CENTER BLVD STE 130
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926
Practice Address - Country:US
Practice Address - Phone:843-682-2740
Practice Address - Fax:843-682-2815
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2018-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA049096207RC0000X
SC19515207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC195158Medicaid
SCCG9496OtherRAILROAD MEDICARE PIN
SCG29147Medicare UPIN
SCSC5335E470Medicare PIN
GA06BDGLJMedicare PIN
SCG291474768Medicare PIN