Provider Demographics
NPI:1992907489
Name:TALIAFERRO, SHARON MELISSA (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MELISSA
Last Name:TALIAFERRO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:101 CHERRY ST
Mailing Address - City:LESLIE
Mailing Address - State:AR
Mailing Address - Zip Code:72645-0400
Mailing Address - Country:US
Mailing Address - Phone:870-447-2599
Mailing Address - Fax:870-447-2917
Practice Address - Street 1:101 CHERRY ST
Practice Address - Street 2:101 CHERRY ST
Practice Address - City:LESLIE
Practice Address - State:AR
Practice Address - Zip Code:72645-0400
Practice Address - Country:US
Practice Address - Phone:870-447-2599
Practice Address - Fax:870-447-2917
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
ARR3278207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARD83887Medicare UPIN