Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2018-01631 | NC |
NPI | 1013275379 |
---|---|
Provider Name | Dr. Sharon Nicole Babcock |
First Address | Houston, TX 77030-1514 |
Second Address | Winston Salem, NC 27157-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2012 |
Last Update Date | 24/09/2018 |