Dr Victoria L Harness, DO | |
300 W 27th St, Lumberton, NC 28358-3075 | |
(910) 671-5000 | |
(828) 321-3211 |
Full Name | Dr Victoria L Harness |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 300 W 27th St, Lumberton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952393225 | NPI | - | NPPES |
2014-00361 | Other | NC | BOARD OF MEDICINE |
1952393225 | Medicaid | NC | |
438111 | Other | GA | WELLCARE |
11D1083186 | Other | GA | CLIA ID |
BH7409356 | Other | DEA | |
060358 | Other | GA | PHYSICIAN LICENSE |
829645739A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2014-00361 (North Carolina) | Primary |
Entity Name | Carolinas Physicians Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Entity Name | Southeastern Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154399699 PECOS PAC ID: 7315857141 Enrollment ID: O20040119000154 |
Entity Name | Southeastern Regional Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427282045 PECOS PAC ID: 7012058548 Enrollment ID: O20100106000556 |
Mailing Address | Practice Location Address |
---|---|
Dr Victoria L Harness, DO 1100 N Barker St, Lumberton, NC 28358-4587 Ph: (706) 982-2721 | Dr Victoria L Harness, DO 300 W 27th St, Lumberton, NC 28358-3075 Ph: (910) 671-5000 |
Nicala Noell Brooks, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Liberty Hill Rd, Lumberton, NC 28358 Phone: 910-739-3318 | |
Gauri Rahul Dalvi, M.D., PH.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Liberty Hill Rd, Lumberton, NC 28358 Phone: 910-739-3318 Fax: 910-671-3600 | |
Mrs. Adrian Deese, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Liberty Hill Rd, Lumberton, NC 28358 Phone: 910-738-8060 | |
Dr. Robert Rhea Earnest, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 460 Country Club Rd, Lumberton, NC 28360 Phone: 910-608-2100 Fax: 910-608-2102 | |
Archana Vijaya Chander, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Liberty Hill Rd, Lumberton, NC 28358 Phone: 910-739-3318 | |
John Allen Wareham, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 | |
Dr. Cauveh Erami, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Clyborn Church Rd, Lumberton, NC 28360 Phone: 919-739-9160 |