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NPI 1780673830

NPI 1780673830 : JOHN CALVIN SHARP JR. MD : HILTON HEAD ISLAND, SC

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General NPI Number Information
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    NPI Number           |    1780673830
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN CALVIN SHARP JR. MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/20/2005
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    Last Update Date     |    08/09/2018
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Provider Practice Location Address
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    Address Line         |    8 HOSPITAL CENTER BLVD STE 130 
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    City                 |    HILTON HEAD ISLAND
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    State                |    SC
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    Zip                  |    29926
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    Country              |    US
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    Telephone            |    843-682-2740
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    Fax                  |    843-682-2815
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Provider Business Mailing Address
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    Address Line         |    6301 ABERCORN ST 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31405-5701
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    Country              |    US
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    Telephone            |    912-352-8700
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    Fax                  |    912-650-6805
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    049096
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    19515
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    License Number State |    SC
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