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NPI Code Detail

MEDICARE: DONALD WILSON HARPER PA-C

MEDICARE: DONALD WILSON HARPER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant3958GA

General Provider Information

NPI Number : 1376619304
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD WILSON HARPER PA-C
Provider Business Mailing Address
First Line : 329 PUMP HOUSE RD
Second Line :
City : EVANS
State : GA
Zip : 30809-5180
Country : US
Telephone Number : 706-833-5635
Fax Number :
Provider Business Practice Location Address
First Line : 3486 PEACH ORCHARD RD STE 200
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-5215
Country : US
Telephone Number : 706-828-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 02/03/2026

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Directions to “ DONALD WILSON HARPER PA-C” Practice Location

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