Provider Demographics
NPI:1891844551
Name:SHARON HARLEY M.D. P.C.
Entity Type:Organization
Organization Name:SHARON HARLEY M.D. P.C.
Other - Org Name:ATLANTA WOMEN'S SPECIALTY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OBGYN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BENT-HARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-904-5999
Mailing Address - Street 1:2678 BUFORD HWY NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3240
Mailing Address - Country:US
Mailing Address - Phone:678-904-5999
Mailing Address - Fax:678-298-6519
Practice Address - Street 1:2678 BUFORD HWY NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3240
Practice Address - Country:US
Practice Address - Phone:678-904-5999
Practice Address - Fax:678-298-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA904359741BMedicaid
GA000326807FMedicaid
GA000326807FMedicaid
GA904359741BMedicaid