Provider Demographics
NPI:1093768095
Name:LITTLE, HARRY M (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:M
Last Name:LITTLE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:501 S SHARON AMITY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-0035
Mailing Address - Country:US
Mailing Address - Phone:704-377-2424
Mailing Address - Fax:704-377-2687
Practice Address - Street 1:1900 RANDOLPH RD
Practice Address - Street 2:STE 900
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1106
Practice Address - Country:US
Practice Address - Phone:704-377-2424
Practice Address - Fax:704-377-2687
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2018-11-29
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Provider Licenses
StateLicense IDTaxonomies
NC25613207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC52119OtherBCBSNC
NC930066886OtherRR MEDICARE
NC89-52119Medicaid
SCQ25613Medicaid
C85177Medicare UPIN