Individual
JOHN CLIFTON HARPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2235 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8999
(336) 722-7266
(336) 201-0538
Mailing address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 201-0538
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-01665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2759471
MEDICARE PTAN
NC
Enumeration date
01/30/2009
Last updated
05/16/2023
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