Provider Demographics
NPI:1922257088
Name:SHARP, MOLLY BARRETT (PA - C)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:BARRETT
Last Name:SHARP
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Gender:F
Credentials:PA - C
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Mailing Address - Street 1:16 WALNUT AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-4719
Mailing Address - Country:US
Mailing Address - Phone:540-345-6468
Mailing Address - Fax:540-345-3204
Practice Address - Street 1:16 WALNUT AVE SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-4719
Practice Address - Country:US
Practice Address - Phone:540-345-6468
Practice Address - Fax:540-345-3204
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2025-04-14
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Provider Licenses
StateLicense IDTaxonomies
VA0110002907363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant