Basic Information
Provider Information
NPI: 1780626093
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARKNESS
FirstName: CAMERON
MiddleName: BLAIR
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastNameType:  
Mailing Information
Address1: PO BOX 15268
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288130268
CountryCode: US
TelephoneNumber: 8282502833
FaxNumber: 8282502932
Practice Location
Address1: 100 RIDGEFIELD CT
Address2: SUITE A
City: ASHEVILLE
State: NC
PostalCode: 288062270
CountryCode: US
TelephoneNumber: 8286708403
FaxNumber: 8286708404
Other Information
ProviderEnumerationDate: 06/12/2006
LastUpdateDate: 01/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VX0201X9701388NCN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
207V00000X9701388NCY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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