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NPI Code Detail

MEDICARE: CRAIG JOHN HARE PA

MEDICARE: CRAIG JOHN HARE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-07936NC

General Provider Information

NPI Number : 1265406532
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG JOHN HARE PA
Provider Business Mailing Address
First Line : 9101 OCEAN HWY E
Second Line :
City : LELAND
State : NC
Zip : 28451-7867
Country : US
Telephone Number : 910-341-3300
Fax Number : 910-251-2067
Provider Business Practice Location Address
First Line : 9101 OCEAN HWY E
Second Line :
City : LELAND
State : NC
Zip : 28451-7867
Country : US
Telephone Number : 910-341-3300
Fax Number : 910-251-2067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 10/09/2018

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Directions to “ CRAIG JOHN HARE PA” Practice Location

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