Randolph S Harrison in Fort Stewart - Physician Assistant
Randolph S Harrison - NPI 1104962620
Randolph S Harrison is a Physician Assistant in Fort Stewart, Georgia. Randolph S Harrison practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randolph S Harrison is 1104962620. The last update date is 2011-03-14.
Randolph S Harrison's current location address is 1061 Harmon Ave Ste 1d03, Fort Stewart, Georgia. You can contact this provider via phone number 9124356633. The mailing address for Randolph S Harrison is 1061 Harmon Ave Ste 1d03, Fort Stewart, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Randolph S Harrison |
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Address | 1061 Harmon Ave Ste 1d03, Fort Stewart, Georgia |
Phone Number | 9124356633 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PA |
NPI Number Detail
NPI Number | 1104962620 |
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Provider Enumeration Date | 2007-01-30 |
Last Updated Date | 2011-03-14 |
Provider Mailing Address Detail
Address | 1061 Harmon Ave Ste 1d03 |
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City | Fort Stewart |
State | Georgia (GA) |
Post Code | 3131456740 |
Phone Number | 9124356633 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1070437 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Randolph S Harrison by the Centers for Medicare & Medicaid Services?
The Randolph S Harrison has been assigned the NPI (National Provider Identifier) 1104962620 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Randolph S Harrison's facilities are geographically located?
The facilities of Randolph S Harrison are physically situated at the following location: 1061 Harmon Ave Ste 1D03, Fort Stewart, GA, 3131456740.
What is Randolph S Harrison's area of expertise and its corresponding taxonomy classification?
The Randolph S Harrison's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104962620 to Randolph S Harrison?
The Centers for Medicare & Medicaid Services originally issued the 1104962620 to Randolph S Harrison on 2007-01-30.
As of what date were the details pertaining to Randolph S Harrison last refreshed?
The information related to the Randolph S Harrison, including its address, specialty, and other relevant details, was last updated on 2011-03-14.