| NPI | 1982750048 | 
|---|---|
| Former Legal Business Name | KENNETH HARPER, MD | 
| Entity Type | Organization | 
| Authorized Contact | KENNETH HARPER President 678-418-2120  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 035182)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 055830)  | 
| 363A00000X Physician Assistant (Licence: GA 004798)  | |
| Enumeration Date | 2007-01-25 | 
| Last Update Date | 2009-06-25 |