Individual
WILLIAM P HARBIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 N BROAD ST NE, SUITE 220, ROME, GA 30161-5207
(706) 291-2077
Mailing address
PO BOX 369, ROME, GA 30162-0369
(706) 291-2077
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
018385
GA
2085N0700X
Neuroradiology Physician
018385
GA
2085N0904X
Nuclear Radiology Physician
018385
GA
2085P0229X
Pediatric Radiology Physician
018385
GA
2085R0202X
Diagnostic Radiology Physician
Primary
018385
GA
2085R0203X
Therapeutic Radiology Physician
018385
GA
2085R0204X
Vascular & Interventional Radiology Physician
018385
GA
2085U0001X
Diagnostic Ultrasound Physician
018385
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000179242A
—
GA
01
—
143900
BCBS OF GEORGIA
GA
01
—
300034696
RAILROAD MEDICARE
GA
Enumeration date
11/13/2006
Last updated
07/25/2012
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