# HARBIN CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harbin Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679599088
- **Authorized official:** KENNA STOCK (CEO)
- **Authorized official phone:** (762) 235-1165

## Contact information

- **Practice address:** 1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
- **Practice address phone:** (762) 235-1470
- **Practice address fax:** (706) 238-8081
- **Mailing address:** 221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
- **Mailing address phone:** (762) 235-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 12/11/2025
