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Individual

HARMONY RAE BROGDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2350 SCHILLINGER RD S, SUITE A, MOBILE, AL 36695-4177
(251) 633-0123
Mailing address
2350 SCHILLINGER RD S, SUITE A, MOBILE, AL 36695-4177
(251) 633-0123

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA00139
MS
363AM0700X
Medical Physician Assistant
Primary
PA760
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04074780
MS
01
9802592
AETNA
MS
Enumeration date
11/11/2010
Last updated
08/19/2021
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