IndividualActive
Jason Sharp, DO
NPI 1043676414 · Sports Medicine (Family Medicine) Physician · Conway, SC
Provider details
- NPI number
- 1043676414
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 87815 (SC)
Practice location
8004 Myrtle Trace Dr Ste 200
Conway, SC 29526-8945
Phone: (843) 347-8041
Fax: (843) 347-8042
Mailing address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Registry dates
- Enumerated
- 2016-01-14
- Last updated
- 2025-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.