Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 2015-01593 | NC |
Y | 208600000X | Surgeon | 2015-01593 | NC |
N | 208200000X | Surgeon | 83074 | SC |
N | 208600000X | Surgeon | 83074 | SC |
N | 208200000X | Surgeon | C2-0007019 | DE |
N | 208600000X | Surgeon | C2-0007019 | DE |
N | 2086S0102X | Surgical Critical Care | 83074 | SC |
N | 208C00000X | Colorectal Surgeon | 2015-01593 | NC |
N | 208C00000X | Colorectal Surgeon | 83074 | SC |
N | 208C00000X | Colorectal Surgeon | OS015240 | PA |
NPI | 1083688204 |
---|---|
Provider Name | Dr. Christie Q. Harp |
First Address | Atlanta, GA 30374-3070 |
Second Address | Charlotte, NC 28211-2978 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 01/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2323842 | GROUP MEDICARE PTAN (01) | NC |
830748 | (05) | SC |
SCK3513365 | MEDICARE PIN (01) | SC |