Provider Demographics
NPI:1689663999
Name:HARPER, CHARLES AUGUSTUS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:AUGUSTUS
Last Name:HARPER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:802 GREEN VALLEY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7099
Mailing Address - Country:US
Mailing Address - Phone:336-389-9898
Mailing Address - Fax:336-275-3550
Practice Address - Street 1:802 GREEN VALLEY RD STE 200
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7099
Practice Address - Country:US
Practice Address - Phone:336-389-9898
Practice Address - Fax:336-275-3550
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC37847207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8939594Medicaid
NC8939594Medicaid
2150079AMedicare ID - Type Unspecified