Healthcare Provider Details

I. General information

NPI: 1679878854
Provider Name (Legal Business Name): JAMES D SHARP MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2011
Last Update Date: 01/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W MAPLE AVE SUITE 205A
SPRINGDALE AR
72764-5335
US

IV. Provider business mailing address

601 W MAPLE AVE SUITE 205A
SPRINGDALE AR
72764-5335
US

V. Phone/Fax

Practice location:
  • Phone: 479-419-9393
  • Fax: 479-419-9513
Mailing address:
  • Phone: 479-419-9393
  • Fax: 479-419-9513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberC-4526
License Number StateAR

VIII. Authorized Official

Name: DR. JAMES D SHARP
Title or Position: OWNER
Credential: MD
Phone: 479-419-9393