| Doctor Name: | MR. DALE STEVEN SHARP |
| NPI Number: | 1164422853 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | MA-003129-L |
| Business Practice Address: | 1061 Harmon Ave Suite 1d03 Ft Stewart, GA - 313145604 |
| Business Phone Number: | 9124355648 |
| Business Fax Number: | 9124355646 |
| Mailing Address: | 1061 Harmon Ave, Suite 1d03 FT STEWART |
| State: | GA |
| Postal Code: | 313145611 |
| Phone Number: | 9124355648 |
| Fax Number: | 9124355646 |
| NPI Enumeration Date: | 07/26/2005 |
| NPI Last Update Date: | 04/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA-003129-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |