Individual
JAMES MARK HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3701 DAUPHIN ST, MOBILE, AL 36608-1756
(251) 341-3368
(251) 341-3371
Mailing address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 341-3368
(251) 341-3371
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
23564
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51516932
BLUE CROSS AL PROVIDER #
AL
01
—
51553927
BLUE CROSS PROVIDER #
AL
01
—
7069510
AETNA PIN
AL
01
—
G92689
HEALTHSPRING PROVIDER #
AL
Enumeration date
06/10/2005
Last updated
11/19/2007
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