Individual
MR. RANDOLPH S HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
(301) 677-8798
Mailing address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1070437
FL
Other
Enumeration date
01/30/2007
Last updated
04/17/2025
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