Provider Demographics
NPI:1215999016
Name:PRITCHARD, SHARON JAMIE (MD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:JAMIE
Last Name:PRITCHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:630 BURNETT DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-2941
Mailing Address - Country:US
Mailing Address - Phone:704-256-9718
Mailing Address - Fax:870-508-8900
Practice Address - Street 1:250 DRILLERS RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-5186
Practice Address - Country:US
Practice Address - Phone:870-492-5995
Practice Address - Fax:870-508-8900
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC8491207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR127485001Medicaid
AR127485001Medicaid