Provider Demographics
NPI:1790876217
Name:SHARP, RHODA K (MD MBA)
Entity Type:Individual
Prefix:
First Name:RHODA
Middle Name:K
Last Name:SHARP
Suffix:
Gender:F
Credentials:MD MBA
Other - Prefix:
Other - First Name:RHODA
Other - Middle Name:JEAN
Other - Last Name:KNOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3495 PIEDMONT ROAD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1736
Mailing Address - Country:US
Mailing Address - Phone:404-364-7000
Mailing Address - Fax:
Practice Address - Street 1:3495 PIEDMONT ROAD NE
Practice Address - Street 2:MEDICAL OFFICIES ADMINISTRATION
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305
Practice Address - Country:US
Practice Address - Phone:404-364-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA029699207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
11BDDLTMedicare ID - Type Unspecified
D40375Medicare UPIN