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NPI Code Detail

MEDICARE: DR. VICTORIA LYNN HARNESS D.O.

MEDICARE: DR. VICTORIA LYNN HARNESS D.O.
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
1208000000XPediatrics Physician2014-00361NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12014-00361OTHERNCBOARD OF MEDICINE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3438111OTHERGAWELLCARE
411D1083186OTHERGACLIA ID
6060358OTHERGAPHYSICIAN LICENSE
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952393225
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA LYNN HARNESS D.O.
Provider Business Mailing Address
First Line : 1100 N BARKER ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-4587
Country : US
Telephone Number : 706-982-2721
Fax Number : 828-321-3211
Provider Business Practice Location Address
First Line : 300 W 27TH ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number : 910-671-5000
Fax Number : 828-321-3211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 03/30/2026

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