Healthcare Provider Details

I. General information

NPI: 1780673830
Provider Name (Legal Business Name): JOHN CALVIN SHARP JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 08/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HOSPITAL CENTER BLVD STE 130
HILTON HEAD ISLAND SC
29926
US

IV. Provider business mailing address

6301 ABERCORN ST
SAVANNAH GA
31405-5701
US

V. Phone/Fax

Practice location:
  • Phone: 843-682-2740
  • Fax: 843-682-2815
Mailing address:
  • Phone: 912-352-8700
  • Fax: 912-650-6805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number049096
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number19515
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: