Healthcare Provider Details

I. General information

NPI: 1235044066
Provider Name (Legal Business Name): SHARPER ORTHOTICS AND PROSTHETICS SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DEVANT ST STE 402
FAYETTEVILLE GA
30214-2713
US

IV. Provider business mailing address

101 DEVANT ST STE 402
FAYETTEVILLE GA
30214-2713
US

V. Phone/Fax

Practice location:
  • Phone: 770-853-0860
  • Fax:
Mailing address:
  • Phone: 770-853-0860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. SEAN WILTON HARPER
Title or Position: OWNER
Credential: CO/LO
Phone: 770-853-0860