Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 036104298 | IL |
Y | 204F00000X | Transplant Surgeon | 39607 | NC |
N | 208200000X | Surgeon | 39607 | NC |
N | 208600000X | Surgeon | 39607 | NC |
NPI | 1609931435 |
---|---|
Provider Name | Dr. Robert C Harland |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-4300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 25/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036104298 | (05) | IL |
39545 | BCBSNC (01) | NC |
8939545 | (05) | NC |