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Individual
GEORGIA P HARROD
Active
Individual
GEORGIA P HARROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA212
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336045
ANTHEM
—
05
—
7100127020
—
KY
Enumeration date
10/14/2005
Last updated
03/15/2018
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