Healthcare Provider Details

I. General information

NPI: 1316951429
Provider Name (Legal Business Name): HAROLD HARRINGTON CAMERON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 01/06/2020
Certification Date: 01/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 S SHARON AMITY RD STE 100
CHARLOTTE NC
28211-3870
US

IV. Provider business mailing address

PO BOX 60160
CHARLOTTE NC
28260-0160
US

V. Phone/Fax

Practice location:
  • Phone: 704-365-0555
  • Fax: 704-367-8122
Mailing address:
  • Phone: 252-633-4183
  • Fax: 252-636-1674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number16840
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: