Individual
DR. CHAD ELLIOTT HARBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2006 FRANKLIN ST SE STE 301, HUNTSVILLE, AL 35801-4537
(256) 539-9471
(256) 539-9472
Mailing address
2006 FRANKLIN ST SE, SUITE 301, HUNTSVILLE, AL 35801-4551
(256) 539-9471
(256) 539-9472
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO884
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0511-43228
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
1326161332
RAILROAD MEDICARE
GA
05
—
1326161332
—
AL
Enumeration date
04/06/2007
Last updated
11/04/2014
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