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NPI Code Detail

MEDICARE: SHARON R. BURNSIDE, M.D.,P.C.

MEDICARE: SHARON R. BURNSIDE, 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
12084N0400XNeurology Physician

General Provider Information

NPI Number : 1972892081
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHARON R. BURNSIDE, M.D.,P.C.
Provider Business Mailing Address
First Line : PO BOX 10687
Second Line :
City : KNOXVILLE
State : TN
Zip : 37939-0687
Country : US
Telephone Number : 865-588-4044
Fax Number : 865-588-6990
Provider Business Practice Location Address
First Line : 6906 KINGSTON PIKE
Second Line : SUITE 200
City : KNOXVILLE
State : TN
Zip : 37919-5704
Country : US
Telephone Number : 865-588-4044
Fax Number : 865-588-6990
Authorized Official
Title or Position : PRESIDENT
Name : SHARON R BURNSIDE
Credential : M.D.
Telephone Number : 865-588-4044
Provider Enumeration Date : 03/30/2011
Last Update Date : 12/01/2025

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