Provider Demographics
NPI:1992991913
Name:HARNETT INTERNAL MEDICINE ASSOCIATES, PC
Entity type:Organization
Organization Name:HARNETT INTERNAL MEDICINE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LOWE
Authorized Official - Last Name:BETHEA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-892-1056
Mailing Address - Street 1:700 TILGHMAN DR
Mailing Address - Street 2:SUITE 726
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-0007
Mailing Address - Country:US
Mailing Address - Phone:910-892-1056
Mailing Address - Fax:910-892-1774
Practice Address - Street 1:700 TILGHMAN DR
Practice Address - Street 2:SUITE 726
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-0007
Practice Address - Country:US
Practice Address - Phone:910-892-1056
Practice Address - Fax:910-892-1774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27385207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1242OtherMEDICARE