Healthcare Provider Details

I. General information

NPI: 1316858012
Provider Name (Legal Business Name): ERIK HARRISON SUGAR PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 UNION AVE
MEMPHIS TN
38104-3415
US

IV. Provider business mailing address

2905 GEORGIA AVE NW APT 202
WASHINGTON DC
20001-4649
US

V. Phone/Fax

Practice location:
  • Phone: 901-516-7000
  • Fax:
Mailing address:
  • Phone: 910-527-3745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: