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Individual

ANDREW BRENDAN HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4077
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q059181
TN
Enumeration date
05/23/2017
Last updated
12/01/2020
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