Provider Demographics
NPI:1215936281
Name:DEL DO, SHARI ANN (MD)
Entity type:Individual
Prefix:DR
First Name:SHARI
Middle Name:ANN
Last Name:DEL DO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 CLIFFDALE RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-4939
Mailing Address - Country:US
Mailing Address - Phone:910-624-1954
Mailing Address - Fax:
Practice Address - Street 1:214 COCHRAN AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3875
Practice Address - Country:US
Practice Address - Phone:910-482-4131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31476207Q00000X
NC67071207Q00000X
VA0101033570207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89130RPMedicaid
NC130RPOther130RP
NC130RPOtherBCBS OF NC GROUP # 015CK
NC8913ORPMedicaid