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NPI Code Detail

MEDICARE: SHARON FOSTER GARDEPE, M.D., P.C.

MEDICARE: SHARON FOSTER GARDEPE, M.D., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician4558AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20004003541OTHERAETNA
351013501OTHERALBLUECROSS AND BLUESHIELD

General Provider Information

NPI Number : 1538478029
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHARON FOSTER GARDEPE, M.D., P.C.
Provider Business Mailing Address
First Line : 201 SIVLEY RD SW
Second Line : SUITE 510
City : HUNTSVILLE
State : AL
Zip : 35801-5138
Country : US
Telephone Number : 256-536-0992
Fax Number : 256-265-2765
Provider Business Practice Location Address
First Line : 201 SIVLEY RD SW
Second Line : SUITE 510
City : HUNTSVILLE
State : AL
Zip : 35801-5134
Country : US
Telephone Number : 256-536-0992
Fax Number : 256-265-2765
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : SHARON FOSTER GARDEPE
Credential : M.D.
Telephone Number : 256-536-0992
Provider Enumeration Date : 09/30/2010
Last Update Date : 04/27/2015

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