Organization
SJHARLEYMDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART J HARLEY (PRESIDENT)
(828) 274-1251
Entity
Organization
Contact information
Practice address
1249 HENDERSONVILLE RD, ASHEVILLE, NC 28803-1904
(828) 274-1251
Mailing address
1249 HENDERSONVILLE RD, ASHEVILLE, NC 28803-1904
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
20801
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8939548
—
NC
Enumeration date
02/22/2008
Last updated
02/22/2008
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