| Angela D. Harper, M.d., Pa | |
|
1415 Blanding St Ste 4 Columbia SC 29201-2922 | |
| (803) 779-7500 | |
| (803) 779-7522 |
| Full Name | Angela D. Harper, M.d., Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1415 Blanding St, Columbia, South Carolina |
| Authorized Official Name and Position | Angela D. Harper (OWNER) |
| Authorized Official Contact | 8037797500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela D. Harper, M.d., Pa 1415 Blanding St Ste 4 Columbia SC 29201-2922 Ph: (803) 779-7500 | Angela D. Harper, M.d., Pa 1415 Blanding St Ste 4 Columbia SC 29201-2922 Ph: (803) 779-7500 |
| NPI Number | 1669670097 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 05/02/2014 |
| Medicare PECOS PAC ID | 8022104983 |
|---|---|
| Medicare Enrollment ID | O20071023000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669670097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22544 (South Carolina) | Primary |
| Provider Name | Angela D Harper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801860515 PECOS PAC ID: 5092794891 Enrollment ID: I20040715000835 |
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