Provider Demographics
NPI:1770162596
Name:HARPER, CHRISTIAN RENEE WILLIAMS (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:RENEE WILLIAMS
Last Name:HARPER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CHRISTIAN
Other - Middle Name:RENEE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:930 20TH ST S STE 315
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-2610
Mailing Address - Country:US
Mailing Address - Phone:205-934-9109
Mailing Address - Fax:205-975-5938
Practice Address - Street 1:501 EMERY DR W
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4625
Practice Address - Country:US
Practice Address - Phone:205-989-7254
Practice Address - Fax:205-989-4202
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3791207Q00000X
390200000X390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine