Individual
DR. ROBERT EDWIN HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3253
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3253
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9600562
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30096783
SELECT HEALTH OF SC
SC
01
—
39540
BCBSNC
NC
01
—
770999
WELLCARE
SC
05
—
8939540
—
NC
05
—
N00562
—
SC
Enumeration date
07/26/2006
Last updated
03/30/2021
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