Healthcare Provider Details

I. General information

NPI: 1083594154
Provider Name (Legal Business Name): HARMON CARE MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 GLEN LENNOX DR UNIT 300
CHAPEL HILL NC
27517-4089
US

IV. Provider business mailing address

101 GLEN LENNOX DR UNIT 300
CHAPEL HILL NC
27517-4089
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: LIBERTY EBERLY
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 999-999-9999