Organization Name: | HARTNESS MEDICAL CENTER P.C. |
NPI Number: | 1639340581 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUNE DURELL SMITH-HARTNESS (OWNER) |
Mailing Address: | 1420 Highway 16 N Denver |
State: | NC US |
Postal Code: | 280377814 |
Phone Number: | 7044898911 |
Fax Number: | 7044898912 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 03/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 100546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |