Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301103632 | MI |
N | 111NI0900X | Internist | 4301103632 | MI |
Y | 207RP1001X | Pulmonary Disease | 83553 | SC |
NPI | 1013358712 |
---|---|
Provider Name | Snigdha Sharma |
First Address | Conway, SC 29526-9142 |
Second Address | Conway, SC 29526-8964 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2013 |
Last Update Date | 21/09/2020 |