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Hugh H. Sharp, IV, MD., LLC

Details

Name: Hugh H. Sharp, IV, MD., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Jan 2008 (17 years ago)
Entity Number: 000-414-327
Register Number: 000414327
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 2308 PANSEY STHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

Activities PHYSICIAN COUNSELING/SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487828323 2008-04-22 2008-04-22 2308 PANSY ST SW, HUNTSVILLE, AL, 358013803, US 2308 PANSY ST SW, HUNTSVILLE, AL, 358013803, US

Contacts

Phone +1 256-533-4377
Fax 2565397874

Authorized person

Name HUGH HENRY SHARP IV
Role SOLE MEMBER
Phone 2565334377

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
License Number 19678
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS-AL
Number 515-17928
State AL
Issuer BCBS-AL
Number 515-46804
State AL

Agent

Name Role
SHARP, HUGH H IV Agent

Member

Name Role
SHARP, HUGH H IV Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State