Provider Demographics
NPI:1699782938
Name:HARRISON, FRANK N (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:N
Last Name:HARRISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 601372
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1372
Mailing Address - Country:US
Mailing Address - Phone:704-355-3149
Mailing Address - Fax:704-355-5891
Practice Address - Street 1:1025 MOREHEAD MEDICAL DR
Practice Address - Street 2:SUITE 500, 5TH FLOOR
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2963
Practice Address - Country:US
Practice Address - Phone:704-355-3149
Practice Address - Fax:704-355-5891
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19695207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1699782938Medicaid
NC40091OtherBCBS NC
NC8940091Medicaid
SC330818Medicaid
NC207069BMedicare PIN
NC207069FMedicare PIN
NC8940091Medicaid
NC207069EMedicare PIN
NC990004301Medicare PIN