Healthcare Provider Details

I. General information

NPI: 1992769681
Provider Name (Legal Business Name): SHARON RENEE BAND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON RENEE STRICKLAND MD

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 04/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 DELFAE DR
WARSAW VA
22572-4281
US

IV. Provider business mailing address

856 J CLYDE MORRIS BLVD SUITE A
NEWPORT NEWS VA
23601-1318
US

V. Phone/Fax

Practice location:
  • Phone: 804-333-1260
  • Fax: 804-333-3796
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101234498
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: