Organization Active NPI

Harbor Internal Medicine

  • Internal Medicine Physician
  • Mooresville, NC
National Provider Identifier
1003195314
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2009-01402 Issued in NC
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

Updated by the provider on Aug 4, 2011

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.