Individual
DANNY L HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1711 DESTINY LN STE 120, BOWLING GREEN, KY 42104-1066
(270) 846-1500
(270) 846-1577
Mailing address
PO BOX 51805, BOWLING GREEN, KY 42102-6805
(270) 846-1500
(270) 846-1577
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
074380
GA
208600000X
Surgery Physician
Primary
23688
KY
208600000X
Surgery Physician
61892
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64236888
—
KY
Enumeration date
01/11/2007
Last updated
10/19/2021
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