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NPI Code Detail

MEDICARE: JAMES M. HARRISON JR. M.D.

MEDICARE: JAMES M. HARRISON JR. M.D.
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
1207W00000XOphthalmology Physician0003821AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24006582OTHERALAETNA PROVIDER #
3C75177OTHERALHEALTHSPRING PROVIDER #
40810031OTHERALUNITED HEATLHCARE PROV #
551034521OTHERALBLUE CROSS PROVIDER #

General Provider Information

NPI Number : 1467456160
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES M. HARRISON JR. M.D.
Provider Business Mailing Address
First Line : 2880 DAUPHIN ST
Second Line :
City : MOBILE
State : AL
Zip : 36606-2457
Country : US
Telephone Number : 251-341-3368
Fax Number : 251-341-3404
Provider Business Practice Location Address
First Line : 3701 DAUPHIN ST
Second Line :
City : MOBILE
State : AL
Zip : 36608-1756
Country : US
Telephone Number : 251-341-3368
Fax Number : 251-341-3404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 05/30/2019

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