Healthcare Provider Details

I. General information

NPI: 1821385659
Provider Name (Legal Business Name): ALLISON LOU SHARP DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 PINE MOUNTAIN RD STE 2
HUDSON NC
28638-2600
US

IV. Provider business mailing address

270 PINE MOUNTAIN RD STE 2
HUDSON NC
28638-2600
US

V. Phone/Fax

Practice location:
  • Phone: 828-757-6330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLL1484
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2014-00787
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: