Basic Information
| Provider Information | |||||||||
| NPI: | 1063498004 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARPE | ||||||||
| FirstName: | CHARLES | ||||||||
| MiddleName: | CLIFFORD | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1869 | ||||||||
| Address2: | |||||||||
| City: | FLETCHER | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287321869 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286875616 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1881 PISGAH DR | ||||||||
| Address2: | BUILDING A | ||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287913760 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286974336 | ||||||||
| FaxNumber: | 8286946757 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2005 | ||||||||
| LastUpdateDate: | 11/17/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 200800078 | NC | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 200800078 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1497C | 01 | NC | BCBS OF NC | OTHER | P01246535 | 01 | NC | MEDICARE RR | OTHER |