| Clinton H. Sharp, III, M.d | |
|
1051 Gause Blvd Suite 380 Slidell LA 70458-2951 | |
| (985) 641-8191 | |
| (985) 641-9812 |
| Full Name | Clinton H. Sharp, III, M.d |
|---|---|
| Speciality | Family Medicine |
| Location | 1051 Gause Blvd, Slidell, Louisiana |
| Authorized Official Name and Position | Clinton Harry Sharp (OWNER) |
| Authorized Official Contact | 9856418191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton H. Sharp, III, M.d 1051 Gause Blvd Suite 380 Slidell LA 70458-2951 Ph: (985) 641-8191 | Clinton H. Sharp, III, M.d 1051 Gause Blvd Suite 380 Slidell LA 70458-2951 Ph: (985) 641-8191 |
| NPI Number | 1245360882 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245360882 | NPI | - | NPPES |
| 1386405 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.016693 (Louisiana) | Primary |
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