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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