Provider Demographics
NPI:1215671201
Name:HARVEST MEDICAL PRIMARY CARE, PC
Entity type:Organization
Organization Name:HARVEST MEDICAL PRIMARY CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:PA-C
Authorized Official - Phone:919-890-8499
Mailing Address - Street 1:PO BOX 98644
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27624-8644
Mailing Address - Country:US
Mailing Address - Phone:919-890-8499
Mailing Address - Fax:919-321-0354
Practice Address - Street 1:1021 BULLARD CT STE 104
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6801
Practice Address - Country:US
Practice Address - Phone:919-890-8499
Practice Address - Fax:919-321-0354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care