Individual
DR. THOMAS JACOB HOWARD HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4008 BURNETT WOMACK BLDG CB7228, CHAPEL HILL, NC 27599
(919) 843-6188
Mailing address
4008 BURNETT WOMACK BLDG CB7228, CHAPEL HILL, NC 27599-0001
(919) 843-6188
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2016-00530
NC
208600000X
Surgery Physician
ME153579
FL
2086S0102X
Surgical Critical Care Physician
ME153579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112516500
—
FL
01
—
OL158
MEDICARE HFMG
FL
01
—
OL159
MEDICARE HFPSI
FL
Enumeration date
05/10/2011
Last updated
11/24/2021
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