MEDICARE: HAROLD FITE P.A.

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	363A00000X	Physician Assistant	101031	NC

General Provider Information

NPI Number	:	1770551020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROLD FITE P.A.

Provider Business Mailing Address
First Line	:	3101 LATROBE DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4849
Country	:	US
Telephone Number	:	704-867-0735
Fax Number	:	704-867-0738

Provider Business Practice Location Address
First Line	:	660 SUMMIT CROSSING PL
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-2104
Country	:	US
Telephone Number	:	704-867-0735
Fax Number	:	704-867-0738

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

Provider Enumeration Date	:	03/12/2006
Last Update Date	:	01/29/2018

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Directions to “ HAROLD FITE P.A.” Practice Location

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