Provider Demographics
NPI:1134226319
Name:GEORGE, SHARON MCCOY (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MCCOY
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3547 LOWREY CT
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-5210
Mailing Address - Country:US
Mailing Address - Phone:916-382-2894
Mailing Address - Fax:707-261-1248
Practice Address - Street 1:1625 TRANCAS ST UNIT 2033
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-7701
Practice Address - Country:US
Practice Address - Phone:916-382-2894
Practice Address - Fax:707-261-1248
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2020-08-06
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Provider Licenses
StateLicense IDTaxonomies
CAG81952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G819520Medicaid
CAF76360Medicare UPIN