Sharp, Misty T

Sharp, Misty T is an individual health care provider with primary practice located at 2110 5Th St N , Columbus MS 39705-2210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Sharp, Misty T can be contacted via phone (662) 243-2435.

Contact Information

Primary practice address
2110 5Th St N Columbus MS 39705-2210
Fax: (662) 328-7037
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E4404 Arkansas
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 19576 Mississippi

Profile Details

NPI number 1871500231
LBN Legal business name Sharp, Misty T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 1st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871500231 NPPES
Arkansas MEDICAID 159885001
Arkansas Other 5N232

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