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Thomas Dylan Sharp
Student in an Organized Health Care Education/Training Program in Chunky, Mississippi
NPI 1609501071

Thomas Dylan Sharp is a Student in an Organized Health Care Education/Training Program based in Chunky, MS. Thomas Dylan Sharp practices in Chunky, MS. The NPI Number for Thomas Dylan Sharp is 1609501071 and holds a License No. (Mississippi).

The current practice location address for Thomas Dylan Sharp is 12719 Suqualena Rd, Chunky, MS and can be reached out via phone at 601-227-2236.

Location: 12719 Suqualena Rd, Chunky, MS, 39323-9635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609501071
Provider Name
Thomas Dylan Sharp
Credential
Provider Entity Type
Individual
Gender
Male
Address
12719 Suqualena Rd, Chunky, MS, 39323-9635
Phone Number
601-227-2236
Fax Number
Provider Enumeration Date
07/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12719 Suqualena Rd
City
Chunky
State
Mississippi
Zip
39323-9635
Phone Number
601-227-2236
Fax Number
person
Provider Business Mailing Address Details
Address
12719 Suqualena Rd
City
Chunky
State
Mississippi
Zip
39323-9635
Phone Number
601-227-2236
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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