Individual
DR. DEANA L HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
75 BAYLOR DR STE 200, BLUFFTON, SC 29910-8965
(843) 540-5857
(843) 524-5655
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 857-2012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101015578
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
83212
SC
207V00000X
Obstetrics & Gynecology Physician
DO1853
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114551918
—
MI
05
—
1417087768
—
VA
05
—
33000131
—
TN
05
—
3720181
—
TN
Enumeration date
03/06/2007
Last updated
07/10/2020
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