Individual
DR. JANE S HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1518 E 3RD ST, SUITE 150, CHARLOTTE, NC 28204-3200
(704) 806-0038
Mailing address
1518 E 3RD ST, SUITE 150, CHARLOTTE, NC 28204-3200
(704) 806-0038
(704) 770-3201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200200033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1349V
BCBS OF NC
NC
05
—
891349V
—
NC
05
—
N0003A
—
SC
01
—
P00102236
MEDICARE RAILROAD
—
Enumeration date
07/18/2006
Last updated
06/05/2014
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