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 |