MEDICARE: STANLEY F HARPER

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1699323378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY F HARPER

Provider Business Mailing Address
First Line	:	3136 BENNETT NEELY LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-4058
Country	:	US
Telephone Number	:	704-338-2937
Fax Number	:

Provider Business Practice Location Address
First Line	:	3136 BENNETT NEELY LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-4058
Country	:	US
Telephone Number	:	704-338-2937
Fax Number	:

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

Provider Enumeration Date	:	08/27/2019
Last Update Date	:	08/27/2019

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Directions to “ STANLEY F HARPER ” Practice Location

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