Individual
DR. ALVIN H HARTNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
514 OWEN DR, FAYETTEVILLE, NC 28304-3432
(910) 323-4571
(910) 323-4620
Mailing address
514 OWEN DR, FAYETTEVILLE, NC 28304-3432
(910) 323-4571
(910) 323-4620
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14679
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40322
BLUE CROSS PIN
NC
05
—
8940322
—
NC
Enumeration date
06/21/2006
Last updated
07/09/2007
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