Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 23731 | AL |
N | 208600000X | Surgeon | 23731 | AL |
Y | 2086S0120X | Pediatric Surgery | 23731 | AL |
NPI | 1417993643 |
---|---|
Provider Name | Carroll M Harmon |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 12/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000060813 | BLUE CROSS (01) | AL |
00124774 | MISSISSIPPI MEDICAID (01) | MS |
009943085 | (05) | AL |
009946865 | (05) | AL |
051060813 | BLUE CROSS (01) | AL |
051500217 | (05) | AL |
051500217 | BLUE CROSS (01) | AL |
051520308 | BLUE CROSS (01) | AL |
051520485 | BLUE CROSS (01) | AL |
1425435 | EMERGENCY LA MEDICAID (01) | LA |
370018130 | RAILROAD MEDICARE (01) | AL |