MEDICARE: CHRISTINE MARIE HARBAUGH NP

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
1	363L00000X	Nurse Practitioner	RN125164NP	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427259829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MARIE HARBAUGH NP

Provider Business Mailing Address
First Line	:	490 BILL KENNEDY WAY SE
Second Line	:	SUITE 101
City	:	ATLANTA
State	:	GA
Zip	:	30316-6835
Country	:	US
Telephone Number	:	404-446-4726
Fax Number	:	404-446-4727

Provider Business Practice Location Address
First Line	:	490 BILL KENNEDY WAY SE
Second Line	:	SUITE 101
City	:	ATLANTA
State	:	GA
Zip	:	30316-6835
Country	:	US
Telephone Number	:	404-446-4726
Fax Number	:	404-446-4727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	03/01/2013

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