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Physician Compare National (NPI:1922086867)

HEALTHCARE PROVIDER: PATRICIA HARRISON M D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1922086867
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6901098078
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101007000462
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HARRISON
Individual professional last name
Provider First Name PATRICIA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1988
Individual professional's medical school graduation year
Primary Specialty PSYCHIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1025 N BEAL PKWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE B 1
Group Practice or individual's line 2 address
City FORT WALTON BEACH
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 325471481
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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