Provider Demographics
NPI:1669972212
Name:BELFLOWERS, SHARON A (PA-C)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:BELFLOWERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3947 DUNN RD # 304
Mailing Address - Street 2:
Mailing Address - City:EASTOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28312-8533
Mailing Address - Country:US
Mailing Address - Phone:910-483-6277
Mailing Address - Fax:910-483-6369
Practice Address - Street 1:3551 DUNN RD STE 101
Practice Address - Street 2:
Practice Address - City:EASTOVER
Practice Address - State:NC
Practice Address - Zip Code:28312-8794
Practice Address - Country:US
Practice Address - Phone:910-483-6277
Practice Address - Fax:910-483-6369
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1007857207Q00000X
NC0010-07857363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty