Provider Demographics
NPI:1548551443
Name:CAROL A. HARPE, M.D. P.A.
Entity type:Organization
Organization Name:CAROL A. HARPE, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-399-9299
Mailing Address - Street 1:6065 LAKE FORREST DR NW
Mailing Address - Street 2:#190
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3850
Mailing Address - Country:US
Mailing Address - Phone:770-399-9299
Mailing Address - Fax:770-399-5499
Practice Address - Street 1:6065 LAKE FORREST DR NW
Practice Address - Street 2:#190
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3850
Practice Address - Country:US
Practice Address - Phone:770-399-9299
Practice Address - Fax:770-399-5499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026126261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD45559Medicare UPIN