Provider Demographics
NPI:1710390281
Name:HARMAN, MEGAN (DO)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:HARMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 HENDERSONVILLE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8576
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2695 HENDERSONVILLE RD STE 204
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8576
Practice Address - Country:US
Practice Address - Phone:828-687-8647
Practice Address - Fax:828-684-6891
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-03
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWVED0418A282NR1301X
NC03113207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK120439OtherSTATE MEDICAL LICENSE
NC03113OtherSTATE MEDICAL LICENSE