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NPI Code Detail

MEDICARE: DR. JEFFREY DEAN HARRISON DC

MEDICARE: DR. JEFFREY DEAN HARRISON DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1868AL

General Provider Information

NPI Number : 1306820337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY DEAN HARRISON DC
Provider Business Mailing Address
First Line : 2151 MILITARY ST S
Second Line :
City : HAMILTON
State : AL
Zip : 35570-6651
Country : US
Telephone Number : 205-921-2348
Fax Number : 205-921-2061
Provider Business Practice Location Address
First Line : 2151 MILITARY ST S
Second Line :
City : HAMILTON
State : AL
Zip : 35570-6651
Country : US
Telephone Number : 205-921-2348
Fax Number : 205-921-2061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 12/20/2011

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