Basic Information
Provider Information
NPI: 1285020206
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARVIE
FirstName: MEREDITH
MiddleName: LINLEY
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 63257
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282633257
CountryCode: US
TelephoneNumber: 8656706199
FaxNumber: 8656706198
Practice Location
Address1: 1975 TOWN CENTER BLVD
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379226669
CountryCode: US
TelephoneNumber: 8655463998
FaxNumber: 8655461123
Other Information
ProviderEnumerationDate: 04/07/2015
LastUpdateDate: 07/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X57700TNN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0206X57700TNY Allopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology

No ID Information.


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