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Contact Information

STEPHANIE R HARMON
3126 MILTON RD STE 217
CHARLOTTE, NC28215-3775
 Phone: 704-534-6380
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Private Vehicle

347C00000X
 

Transportation Broker

347E00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1104494095
Entity Organization
Organization subpart 1 Not specified
Enumeration date 06/16/2021
Last updated 08/01/2024 - More than a year ago
Identifiers
NC License # FFM6309
NC Medicaid 852188700
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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