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NPI Code Detail

MEDICARE: DR. SHARON GIVENS WILLINGHAM M.D.

MEDICARE: DR. SHARON GIVENS WILLINGHAM M.D.
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
12084P0800XPsychiatry Physician31934NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
131934OTHERNCLICENSE

General Provider Information

NPI Number : 1811990534
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARON GIVENS WILLINGHAM M.D.
Provider Business Mailing Address
First Line : 205 TATE ST
Second Line :
City : MORGANTON
State : NC
Zip : 28655-2554
Country : US
Telephone Number : 252-675-2345
Fax Number : 828-581-0127
Provider Business Practice Location Address
First Line : 617 S GREEN ST
Second Line : SUITE 300
City : MORGANTON
State : NC
Zip : 28655-3517
Country : US
Telephone Number : 828-437-3000
Fax Number : 828-437-4999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 01/23/2014

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