Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 9300487 | NC |
NPI | 1003806043 |
---|---|
Provider Name | Dr. William R Harlan |
First Address | Asheville, NC 28801-4109 |
Second Address | Asheville, NC 28801-4109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 01/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1169833 | UNITED HEALTHCARE (01) | NC |
39573 | BCBS OF NC (01) | NC |
8939537 | (05) | NC |
F84018 | (02) | NC |