Provider Demographics
NPI:1376790063
Name:HARBOLD, NORRIS BROWN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:NORRIS
Middle Name:BROWN
Last Name:HARBOLD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 CHIMNEY SWIFT LN
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-8922
Mailing Address - Country:US
Mailing Address - Phone:803-329-1500
Mailing Address - Fax:803-329-9697
Practice Address - Street 1:2275 INDIA HOOK RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1223
Practice Address - Country:US
Practice Address - Phone:803-329-1500
Practice Address - Fax:803-329-9697
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17213207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty