Provider Demographics
NPI:1851472484
Name:DEMOCKER, SHARON KAY (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:DEMOCKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 GOLDEN GATE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-6222
Mailing Address - Country:US
Mailing Address - Phone:828-698-8808
Mailing Address - Fax:828-698-8910
Practice Address - Street 1:907 GOLDEN GATE DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-6222
Practice Address - Country:US
Practice Address - Phone:828-698-8808
Practice Address - Fax:828-698-8910
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300960207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13453OtherBCBSNC
NC13453OtherBCBSNC
NC2022451BMedicare PIN