Individual
EDWIN P HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 925-6805
(601) 926-4978
Mailing address
PO BOX 24146, JACKSON, MS 39225-4146
(601) 925-6723
(601) 926-4978
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4774
AK
2088P0231X
Pediatric Urology Physician
Primary
06918
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017183
—
MS
05
—
MD4774
—
AK
Enumeration date
06/09/2006
Last updated
07/24/2012
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