Individual
GEORGIA P HARROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
150 FAIRVIEW CT, EMINENCE, KY 40019-1158
(502) 845-5672
(502) 845-1402
Mailing address
100 E LIBERTY ST, STE 800, LOUISVILLE, KY 40202-1434
(502) 845-5672
(502) 845-1402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA212
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336045
ANTHEM
—
05
—
7100127020
—
KY
Enumeration date
10/14/2005
Last updated
03/15/2018
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