MEDICARE: JASON M HARMON MD

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
1	207Q00000X	Family Medicine Physician	MD.42362	AL

General Provider Information

NPI Number	:	1356339295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON M HARMON MD

Provider Business Mailing Address
First Line	:	74 PLAZA DR
Second Line	:
City	:	PELL CITY
State	:	AL
Zip	:	35125-9370
Country	:	US
Telephone Number	:	205-814-9284
Fax Number	:	205-814-9626

Provider Business Practice Location Address
First Line	:	7191 CAHABA VALLEY RD STE 300
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-6461
Country	:	US
Telephone Number	:	205-995-9909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	01/19/2022

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