Healthcare Provider Details

I. General information

NPI: 1154350692
Provider Name (Legal Business Name): MICHAEL C SHARP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 04/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 MARKET ST
CHAPEL HILL NC
27516
US

IV. Provider business mailing address

184 LYSTRA ESTATES DR
CHAPEL HILL NC
27517-6445
US

V. Phone/Fax

Practice location:
  • Phone: 919-945-0300
  • Fax: 919-945-0303
Mailing address:
  • Phone: 919-945-0300
  • Fax: 919-945-0303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number22051
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number22051
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: