Provider Demographics
NPI:1922257088
Name:SHARP, MOLLY BARRETT (PA - C)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:BARRETT
Last Name:SHARP
Suffix:
Gender:F
Credentials:PA - C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:400 E BURWELL ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-4329
Mailing Address - Country:US
Mailing Address - Phone:540-387-3105
Mailing Address - Fax:540-387-3653
Practice Address - Street 1:400 E BURWELL ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-4329
Practice Address - Country:US
Practice Address - Phone:540-387-3105
Practice Address - Fax:540-387-3653
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2015-10-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant