Individual
MRS. JILL HARPER BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MHS, CPO
Contact information
Practice address
6208 FAYETTEVILLE RD, SUITE 101, DURHAM, NC 27713-6286
(919) 806-3910
(919) 806-3430
Mailing address
6208 FAYETTEVILLE RD, SUITE 101, DURHAM, NC 27713-6286
(919) 806-3910
(919) 806-3430
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO02762
NC
224P00000X
Prosthetist
Primary
CPO02762
NC
363AM0700X
Medical Physician Assistant
103244
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795092
—
NC
Enumeration date
06/30/2005
Last updated
10/31/2008
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