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Organization
EAGLE RISING HEALTH SERVICES, PLLC
Active
Organization
EAGLE RISING HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE JEROME HARP JR. P.A. (OWNER)
(704) 334-6370
Entity
Organization
Contact information
Practice address
8815 UNIVERSITY EAST DR STE 215, CHARLOTTE, NC 28213-4100
(980) 318-3602
Mailing address
1008 CHARLES AVE, CHARLOTTE, NC 28205-1535
(704) 334-6370
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
101599
NC
261QP2300X
Primary Care Clinic/Center
Primary
101599
NC
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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