Provider Demographics
NPI:1023085669
Name:ANDERSON-SHARPE, THOMASINA (MD)
Entity type:Individual
Prefix:DR
First Name:THOMASINA
Middle Name:
Last Name:ANDERSON-SHARPE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:THOMASINA
Other - Middle Name:ELIZABETH
Other - Last Name:HENKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:108 MCMEANS AVE STE C
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-3130
Mailing Address - Country:US
Mailing Address - Phone:251-937-7100
Mailing Address - Fax:251-937-9882
Practice Address - Street 1:108 MC MEANS AVE. STE C
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507
Practice Address - Country:US
Practice Address - Phone:251-937-7100
Practice Address - Fax:251-937-9882
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18229207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G01085Medicare UPIN