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1043676414
JASON C SHARP
CONWAY, SC
NPI
1043676414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: SC 87815)
Enumeration Date
2016-01-14
Last Update Date
2022-12-05
Business Address
JASON C SHARP DO
8004 MYRTLE TRACE DR STE 200
CONWAY, SC 29526-8945
Phone number: 843-347-8041
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Mailing Address
JASON C SHARP DO
300 SINGLETON RIDGE RD ATTN PNS CREDENTIALING
CONWAY, SC 29526-9142
Phone number: 843-234-6946
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