Provider Demographics
NPI:1316903214
Name:SHARPE, ELIZABETH D (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:D
Last Name:SHARPE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2861 TRICOM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9172
Mailing Address - Country:US
Mailing Address - Phone:843-725-0064
Mailing Address - Fax:843-569-7885
Practice Address - Street 1:242 MATHIS FERRY RD STE 100
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-2982
Practice Address - Country:US
Practice Address - Phone:843-884-1011
Practice Address - Fax:843-884-4773
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2022-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC10243207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3188Medicaid