Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 25638 | MS |
NPI | 1265865885 |
---|---|
Provider Name | Joseph Robert Harmon |
First Address | Corinth, MS 38834-9073 |
Second Address | Corinth, MS 38834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2013 |
Last Update Date | 17/07/2018 |