Basic Information
| Provider Information | |||||||||
| NPI: | 1215936281 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEL DO | ||||||||
| FirstName: | SHARI | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3300 CLIFFDALE RD | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283034939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106241954 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 214 COCHRAN AVE | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283013875 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9104824131 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2005 | ||||||||
| LastUpdateDate: | 06/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 31476 | NC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 67071 | NC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 0101033570 | VA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 89130RP | 05 | NC | MEDICAID | 130RP | 01 | NC | 130RP | OTHER | 130RP | 01 | NC | BCBS OF NC GROUP # 015CK | OTHER | 8913ORP | 05 | NC | MEDICAID |