# EAGLE RISING HEALTH SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013304211
- **Authorized official:** MR. WAYNE JEROME HARP JR. P.A. (OWNER)
- **Authorized official phone:** (704) 334-6370

## Contact information

- **Practice address:** 8815 UNIVERSITY EAST DR STE 215, CHARLOTTE, NC 28213-4100
- **Practice address phone:** (980) 318-3602
- **Mailing address:** 1008 CHARLES AVE, CHARLOTTE, NC 28205-1535
- **Mailing address phone:** (704) 334-6370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | 101599 | NC | — |
| 261QP2300X | Primary Care Clinic/Center | 101599 | NC | Yes |

## Other

- **Enumeration date:** 04/25/2015
- **Last updated:** 04/25/2015