Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 10580 | AL |
N | 111NI0900X | Internist | 10580 | AL |
Y | 207RA0401X | Internist - Addiction Medicine | 10580 | AL |
NPI | 1104992411 |
---|---|
Provider Name | Dr. James A Harrow |
First Address | Montgomery, AL 36117-7005 |
Second Address | Montgomery, AL 36116-2975 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 19/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102I083324 | MEDICARE (01) | AL |
C72339 | (02) | AL |
C72339 | VIVA HEALTH (01) | AL |