| John C Sharp Phd.,d.o. | |
|
Route 92 Green Bank WV 24944 | |
| (304) 456-4211 | |
| (304) 456-5213 |
| Full Name | John C Sharp Phd.,d.o. |
|---|---|
| Speciality | Family Medicine |
| Location | Route 92, Green Bank, West Virginia |
| Authorized Official Name and Position | John C Sharp (OWNER) |
| Authorized Official Contact | 3047994645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Sharp Phd.,d.o. P O Box 320 Marlinton WV 24954 Ph: (304) 456-4211 | John C Sharp Phd.,d.o. Route 92 Green Bank WV 24944 Ph: (304) 456-4211 |
| NPI Number | 1275610230 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275610230 | NPI | - | NPPES |
| 3810005779 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 806 (West Virginia) | Primary |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Route 28, Green Bank, WV 24944 Phone: 304-456-5115 Fax: 304-456-5117 | |
Community Care Of West Virginia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rr 1 Box 5, Green Bank, WV 24944 Phone: 304-456-4865 Fax: 304-456-5162 |