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Individual
DR. ERIC A. HARRELL
Active
Individual
DR. ERIC A. HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2287
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336126879
NPI
—
01
—
2287
STATE LICENSE
SC
01
—
SC83146672
MEDICARE PTAN
SC
Enumeration date
12/27/2005
Last updated
02/20/2017
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