=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770162596
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTIAN RENEE WILLIAMS HARPER DO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2021
-----------------------------------------------------
Last Update Date | 08/28/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 EMERY DR W
-----------------------------------------------------
City | HOOVER
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35244-4625
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-989-7254
-----------------------------------------------------
Fax | 205-989-4202
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 930 20TH ST S STE 315
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35205-2610
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-934-9109
-----------------------------------------------------
Fax | 205-975-5938
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 3791
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------