Active NPI
Harbor Internal Medicine
- Internal Medicine Physician
- Mooresville, NC
National Provider Identifier
1003195314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2009-01402
- Legal business name
- HARBOR INTERNAL MEDICINE
- Practice address
- 478 Williamson Rd
Suite B
Mooresville, NC 28117-8192 - Phone
- (704) 660-0321
- Fax
- (704) 660-0765
- NPI assigned
- Aug 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devina Talwar, MD
- Title
- Physician/Owner
- Phone
- (704) 660-0321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2009-01402 | NC | Primary |
Addresses
Primary practice location
478 Williamson Rd
Suite B
Mooresville, NC 28117-8192
Mailing address
478 Williamson Rd
Suite B
Mooresville, NC 28117-8192
Phone (704) 660-0321
National Provider Directory
National Provider DirectoryLocations
478 Williamson Rd
Ste B
Mooresville, NC 28117
Phone (704) 660-0321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312416000000",
"number": "1003195314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 WILLIAMSON RD",
"address_2": "SUITE B",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178192",
"telephone_number": "704-660-0321",
"fax_number": "704-660-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "478 WILLIAMSON RD",
"address_2": "SUITE B",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178192",
"telephone_number": "704-660-0321",
"fax_number": "704-660-0765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A",
"authorized_official_last_name": "TALWAR",
"authorized_official_first_name": "DEVINA",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "704-660-0321",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "2009-01402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.