Provider Demographics
NPI:1760472088
Name:SCHWARTZ, HARVEY RANDALL (M D)
Entity type:Individual
Prefix:
First Name:HARVEY
Middle Name:RANDALL
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 PAGE RD
Mailing Address - Street 2:BUILDING 3
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8751
Mailing Address - Country:US
Mailing Address - Phone:910-295-6661
Mailing Address - Fax:910-295-6524
Practice Address - Street 1:325 PAGE RD
Practice Address - Street 2:BUILDING 3
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8751
Practice Address - Country:US
Practice Address - Phone:910-295-6661
Practice Address - Fax:910-295-6524
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33744207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7974978Medicaid
NC7974978Medicaid