MEDICARE: SHARON F. BILLON, M.D., A PROFESSIONAL CORPORATION

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
1	207N00000X	Dermatology Physician	G30339	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578744496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON F. BILLON, M.D., A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	207 BRIDGE ST
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-3311
Country	:	US
Telephone Number	:	805-481-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 BRIDGE ST
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-3311
Country	:	US
Telephone Number	:	805-481-5100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHARON F. BILLON
Credential	:	M.D.
Telephone Number	:	805-481-5100

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	11/20/2007

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