=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669972212
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHARON A BELFLOWERS PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/20/2018
-----------------------------------------------------
Last Update Date | 06/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 405 OWEN DR
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28304-3411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-323-3183
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 96860
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28296-6860
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-460-0993
-----------------------------------------------------
Fax | 919-481-3952
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | 0010-07857
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------