Healthcare Provider Details

I. General information

NPI: 1548551443
Provider Name (Legal Business Name): CAROL A. HARPE, M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2011
Last Update Date: 04/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6065 LAKE FORREST DR NW #190
ATLANTA GA
30328-3850
US

IV. Provider business mailing address

6065 LAKE FORREST DR NW #190
ATLANTA GA
30328-3850
US

V. Phone/Fax

Practice location:
  • Phone: 770-399-9299
  • Fax: 770-399-5499
Mailing address:
  • Phone: 770-399-9299
  • Fax: 770-399-5499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number026126
License Number StateGA

VIII. Authorized Official

Name: DR. CAROL A HARPE
Title or Position: CEO/OWNER
Credential: M.D.
Phone: 770-399-9299