Byron F Harper Iii Md Pc | |
106 Governors Sq Fayetteville GA 30215-4805 | |
(770) 632-5944 | |
(770) 632-5942 |
Full Name | Byron F Harper Iii Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 106 Governors Sq, Fayetteville, Georgia |
Authorized Official Name and Position | Byron F Harper (OWNER) |
Authorized Official Contact | 7706325944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Byron F Harper Iii Md Pc 106 Governors Sq Fayetteville GA 30215-4805 Ph: (770) 632-5944 | Byron F Harper Iii Md Pc 106 Governors Sq Fayetteville GA 30215-4805 Ph: (770) 632-5944 |
NPI Number | 1477750461 |
---|---|
Provider Enumeration Date | 07/02/2007 |
Last Update Date | 11/30/2009 |
Medicare PECOS PAC ID | 6204821275 |
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Medicare Enrollment ID | O20040419000718 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477750461 | NPI | - | NPPES |
00342229A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 028780 (Georgia) | Primary |
Provider Name | Byron F Harper |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356310544 PECOS PAC ID: 4789633454 Enrollment ID: I20050120000115 |
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