Individual
DR. LAURA MACKENZIE HARBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE., SUITE 200 ATTN: CREDENTIALING, GERMANTOWN, TN 38138
(901) 683-0055
(901) 685-2969
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
LL51326
SC
207VX0201X
Gynecologic Oncology Physician
Primary
70260
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL51326
LIMITED LICENSE
SC
Enumeration date
06/23/2017
Last updated
09/10/2024
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