Provider Demographics
NPI:1801073267
Name:SHARP, JAMES NOEL (PT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:NOEL
Last Name:SHARP
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 HIGHWAY 49 S
Mailing Address - Street 2:SUITE E
Mailing Address - City:RICHLAND
Mailing Address - State:MS
Mailing Address - Zip Code:39218-7517
Mailing Address - Country:US
Mailing Address - Phone:601-420-5838
Mailing Address - Fax:601-420-5839
Practice Address - Street 1:1055 HIGHWAY 49 S
Practice Address - Street 2:SUITE E
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218-7517
Practice Address - Country:US
Practice Address - Phone:601-420-5838
Practice Address - Fax:601-420-5839
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT2769225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist