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James Clyde Harvell JR.

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NPI Number Detailed Information

Provider Information:

Name: James Clyde Harvell JR.
Gender: M
Provider License Number If Given: 33058

NPI Information:

NPI: 1639163157
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 3/13/2008

Provider Business Mailing Address:

Address: 810 W H SMITH BLVD
Greenville, NC 27834
Phone Number: 2527572663
Fax Number: 2523170829

Provider Business Practice Location Address:

Address: 810 W H SMITH BLVD
Greenville, NC 27834
Phone Number: 2527572663
Fax Number: 2523170829

Provider Taxonomy:

Primary: 207X00000X
Secondary (if any):
State: NC

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