Provider Demographics
NPI:1396866273
Name:HARPER, JAMES GARRETT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GARRETT
Last Name:HARPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2915 COLTSGATE ROAD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211
Mailing Address - Country:US
Mailing Address - Phone:704-375-7111
Mailing Address - Fax:704-375-0444
Practice Address - Street 1:2915 COLTSGATE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-3882
Practice Address - Country:US
Practice Address - Phone:704-375-7111
Practice Address - Fax:704-375-0444
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2012-00528207Q00000X, 208200000X
GA000500208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I025286OtherMEDICARE PTAN