Healthcare Provider Details

I. General information

NPI: 1487682258
Provider Name (Legal Business Name): JAMES B HARRELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3290 DAUPHIN ST SUITE 301
MOBILE AL
36606-4062
US

IV. Provider business mailing address

3290 DAUPHIN ST SUITE 301
MOBILE AL
36606-4062
US

V. Phone/Fax

Practice location:
  • Phone: 251-435-5437
  • Fax: 251-435-6744
Mailing address:
  • Phone: 251-435-5437
  • Fax: 251-435-6744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number18364
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: