Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2017-01569 | NC |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 37349 | SC |
NPI | 1023277209 |
---|---|
Provider Name | Marc Scott Haro |
First Address | Charlotte, NC 28275-1461 |
Second Address | Mt Pleasant, SC 29464-4195 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 30/08/2019 |