Individual
DR. JOHN BONDURANT HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,M.D.
Contact information
Practice address
213 GREEN COVE RD SE, HUNTSVILLE, AL 35803-3005
(256) 533-7751
(256) 533-7753
Mailing address
213 GREEN COVE RD SE, HUNTSVILLE, AL 35803-3005
(256) 533-7751
(256) 533-7753
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2715
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51093174
BLUE CROSS OF AL
AL
Enumeration date
08/01/2006
Last updated
07/08/2007
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