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Contact Information

JACK K SHARP, MD
2131 S 17TH ST
WILMINGTON, NC28401-7407
 Phone: 910-662-8888
 Fax: 910-662-8909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JACK K SHARP · (Male)

NPI Number 1104880079
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2006
Last updated 07/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2012-01911
  • NY License # 216985
  • NY License # 216985-1
  • NY Medicaid 02062031
  • PA Medicaid 001819708001
  • Other 000525957001 BC/BS
  • Other 040426001868 FIDELIS
  • Other 4410946 IHA
  • Other 00021037301 UNIVERA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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