Farryn Jevanna Harrison in Stone Mountain - Oral And Maxillofacial Surgery

Farryn Jevanna Harrison - NPI 1649432923

Farryn Jevanna Harrison is a Oral And Maxillofacial Surgery in Stone Mountain, Georgia. Farryn Jevanna Harrison practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Farryn Jevanna Harrison is 1649432923. The last update date is 2010-05-18.

Farryn Jevanna Harrison's current location address is 1147 S Hairston Rd, Stone Mountain, Georgia. You can contact this provider via phone number 4042976635 and fax number 8132894500. The mailing address for Farryn Jevanna Harrison is 1147 S Hairston Rd, Stone Mountain, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Farryn Jevanna Harrison
Address 1147 S Hairston Rd, Stone Mountain, Georgia
Phone Number 4042976635
Fax Number 8132894500
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1649432923
Provider Enumeration Date 2008-06-27
Last Updated Date 2010-05-18

Provider Mailing Address Detail

Address 1147 S Hairston Rd
City Stone Mountain
State Georgia (GA)
Post Code 300882720
Phone Number 4042976635
Fax Number 8132894500

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DN013220
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Farryn Jevanna Harrison

What is the unique provider identifier assigned to Farryn Jevanna Harrison?

The Farryn Jevanna Harrison has been issued the NPI (National Provider Identifier) 1649432923 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Farryn Jevanna Harrison?

The Farryn Jevanna Harrison is physically situated at 1147 S Hairston Rd, in the city of Stone Mountain, state of GA, with the postal code 300882720.

What is Farryn Jevanna Harrison's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Farryn Jevanna Harrison is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649432923 to Farryn Jevanna Harrison?

The Centers for Medicare & Medicaid Services originally issued the 1649432923 to Farryn Jevanna Harrison on 2008-06-27.

When was the information regarding Farryn Jevanna Harrison most recently updated?

The details pertaining to the Farryn Jevanna Harrison, including its address, specialty, and other relevant information, were last refreshed on 2010-05-18.

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