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Individual

ANGELLE SIMON HARPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2101 W ARLINGTON BLVD STE 210, GREENVILLE, NC 27834
(252) 931-7638
(252) 931-7694
Mailing address
PO BOX 30750, GREENVILLE, NC 27833-0750
(252) 931-7638
(252) 931-7694

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2007-01962
NC
2085R0202X
Diagnostic Radiology Physician
307269
LA
2085R0202X
Diagnostic Radiology Physician
TL28800
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147YF
BCBSNC
NC
05
5910471
NC
Enumeration date
06/27/2006
Last updated
05/14/2018
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