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Individual
HAROLD A BIVINS JR.
Active
Individual
HAROLD A BIVINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01069092A
IN
207VM0101X
Maternal & Fetal Medicine Physician
030955
GA
207VM0101X
Maternal & Fetal Medicine Physician
3621
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003985711
—
GA
01
—
160051156
RAILROAD MEDICARE
—
05
—
201006820
—
IN
01
—
506482
BLUE CROSS BLUE SHIELD
GA
01
—
582162071007
CHAMPUS
—
05
—
G35680
—
SC
01
—
P01307647
MEDICAR RR PTAN
IN
Enumeration date
06/06/2006
Last updated
04/07/2026
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