Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 22735 | NC |
NPI | 1053332866 |
---|---|
Provider Name | Paul S Harper |
First Address | Alpharetta, GA 30005-5462 |
Second Address | Asheville, NC 28803-2459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
183580 | MEDCOST (01) | NC |
39596 | BCBS (01) | NC |
8939596 | (05) | NC |
C76135 | (02) | NC |