Provider Demographics
NPI:1013770957
Name:FLAGLER, SHARON DEAN
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:DEAN
Last Name:FLAGLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3032
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29442
Mailing Address - Country:US
Mailing Address - Phone:843-240-6423
Mailing Address - Fax:
Practice Address - Street 1:8125 BROWNS FERRY ROAD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:SC
Practice Address - Zip Code:29440-2944
Practice Address - Country:US
Practice Address - Phone:843-240-6423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator