Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 026544 | GA |
Y | 2080P0208X | Pediatric Infectious Diseases | 026544 | GA |
NPI | 1225086622 |
---|---|
Provider Name | Harvey Robert Harrison |
First Address | Savannah, GA 31404-6220 |
Second Address | Savannah, GA 31404-6220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 24/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000329865A | (05) | GA |
000329865C | (05) | GA |
F95773 | (02) | |
P01003834 | RAILROAD MEDICARE (01) | GA |
Q26544 | (05) | SC |