Provider Demographics
NPI:1528723517
Name:PEARSON, CH-HARA JOANN
Entity type:Individual
Prefix:
First Name:CH-HARA
Middle Name:JOANN
Last Name:PEARSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:952 GOLF HOUSE RD W STE I-627
Mailing Address - Street 2:
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377-9286
Mailing Address - Country:US
Mailing Address - Phone:336-609-4176
Mailing Address - Fax:
Practice Address - Street 1:1201 MURCHISON RD # A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4251
Practice Address - Country:US
Practice Address - Phone:336-609-4176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory