Provider Demographics
NPI:1013924588
Name:HARR, GEORGE CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:CHARLES
Last Name:HARR
Suffix:
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 1:1200 FIRST COLONIAL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2207
Mailing Address - Country:US
Mailing Address - Phone:757-481-4422
Mailing Address - Fax:757-481-9182
Practice Address - Street 1:1200 FIRST COLONIAL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2207
Practice Address - Country:US
Practice Address - Phone:757-481-4422
Practice Address - Fax:757-481-9182
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101033944207N00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA070000041Medicare PIN