Provider Demographics
NPI:1982093027
Name:SHARPE, HEATH (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATH
Middle Name:
Last Name:SHARPE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 N PLEASANTBURG DR
Mailing Address - Street 2:STE - D
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-2706
Mailing Address - Country:US
Mailing Address - Phone:864-268-9040
Mailing Address - Fax:
Practice Address - Street 1:2400 N PLEASANTBURG DR
Practice Address - Street 2:STE - D
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-2706
Practice Address - Country:US
Practice Address - Phone:864-268-9040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor