Provider Demographics
NPI:1043510696
Name:HARNETT OBGYN LLC
Entity Type:Organization
Organization Name:HARNETT OBGYN LLC
Other - Org Name:HARNETT OBGYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP CORP REV CYCLE/MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-615-5572
Mailing Address - Street 1:PO BOX 1706
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28335-1706
Mailing Address - Country:US
Mailing Address - Phone:910-892-4092
Mailing Address - Fax:910-892-0788
Practice Address - Street 1:805 TILGHMAN DR STE C
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-5883
Practice Address - Country:US
Practice Address - Phone:910-892-4092
Practice Address - Fax:910-892-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty