Individual
DR. PHILLIP R HARSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2711 RANDOLPH RD, STE 512, CHARLOTTE, NC 28207-2027
(704) 333-4104
(704) 358-4544
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 333-4104
(704) 358-4544
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26667
NC
Other
Enumeration date
05/23/2005
Last updated
03/11/2015
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