Individual
PAUL L HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
483 UPPER RIVERDALE RD SW STE G, RIVERDALE, GA 30274-2584
(770) 996-9400
(770) 991-2918
Mailing address
483 UPPER RIVERDALE RD SW STE G, RIVERDALE, GA 30274-2584
(770) 996-9400
(770) 991-2918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036647
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00897949A
—
GA
Enumeration date
09/22/2006
Last updated
03/12/2020
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