Basic Information
| Provider Information | |||||||||
| NPI: | 1811081326 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GABL | ||||||||
| FirstName: | SHARIN | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | PAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 46 MEMORIAL DR | ||||||||
| Address2: | |||||||||
| City: | PINEHURST | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283748707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9107154473 | ||||||||
| FaxNumber: | 1071519269 | ||||||||
| Practice Location | |||||||||
| Address1: | 1021 W HAMLET AVE | ||||||||
| Address2: | |||||||||
| City: | HAMLET | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283454564 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198972250 | ||||||||
| FaxNumber: | 9198972263 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2006 | ||||||||
| LastUpdateDate: | 07/31/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 085-001971 | IL | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 363A00000X | 0010-09283 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.