Provider Demographics
NPI:1083688204
Name:HARP, CHRISTIE Q (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:Q
Last Name:HARP
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:309 S SHARON AMITY RD
Practice Address - Street 2:304
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2978
Practice Address - Country:US
Practice Address - Phone:704-442-2400
Practice Address - Fax:704-364-0713
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC83074208600000X, 2086S0102X, 208C00000X
DEC2-0007019208600000X
NC2015-01593208C00000X, 208600000X
PAOS015240208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSCK3513365OtherMEDICARE PIN
SC830748Medicaid
NC2323842OtherGROUP MEDICARE PTAN