Healthcare Provider Details

I. General information

NPI: 1427178763
Provider Name (Legal Business Name): HAROLD E. HARVEY II, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/01/2020
Certification Date: 07/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 PROFESSIONAL PARK
BECKLEY WV
25801-3624
US

IV. Provider business mailing address

214 PROFESSIONAL PARK
BECKLEY WV
25801-3624
US

V. Phone/Fax

Practice location:
  • Phone: 304-252-5343
  • Fax: 304-252-6542
Mailing address:
  • Phone: 304-252-5343
  • Fax: 304-252-6542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number17024
License Number StateWV

VIII. Authorized Official

Name: DR. HAROLD E HARVEY II
Title or Position: PRESIDENT
Credential: M.D.
Phone: 304-252-5343