=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386653285
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAUL MCREE HARRELSON PA-C
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2006
-----------------------------------------------------
Last Update Date | 08/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5000 MEDICAL WEST WAY STE 302
-----------------------------------------------------
City | BESSEMER
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35022-7082
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-201-1501
-----------------------------------------------------
Fax | 800-325-1146
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5000 MEDICAL WEST WAY STE 302
-----------------------------------------------------
City | BESSEMER
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35022-7082
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-201-1501
-----------------------------------------------------
Fax | 800-325-1146
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | PA-110
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------