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Individual
HARRISON MATTHEW FUQUA
Active
Individual
HARRISON MATTHEW FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO.2441
AL
207Q00000X
Family Medicine Physician
Primary
OS18974
FL
Other
Enumeration date
09/04/2019
Last updated
11/22/2022
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