Individual
CARL THURMAN HARRISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211
(276) 258-1100
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024176155
VA
363LF0000X
Family Nurse Practitioner
Primary
0024176155
VA
Other
Enumeration date
06/06/2018
Last updated
06/20/2018
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