| Sharp, Inc | |
|
101 Hospital Dr Tylertown MS 39667-2021 | |
| (601) 876-4926 | |
| (601) 876-4333 |
| Full Name | Sharp, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 101 Hospital Dr, Tylertown, Mississippi |
| Authorized Official Name and Position | Bernard Simmons (CEO) |
| Authorized Official Contact | 6018764926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharp, Inc 101 Hospital Dr P.o. Box 32 Tylertown MS 39667-2021 Ph: (601) 876-4926 | Sharp, Inc 101 Hospital Dr Tylertown MS 39667-2021 Ph: (601) 876-4926 |
| NPI Number | 1861515587 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861515587 | NPI | - | NPPES |
| 09010051 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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