Individual
LAURENCE ORIN FRANKLIN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 533-6645
(770) 535-2642
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40918
GA
208M00000X
Hospitalist Physician
040918
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000691633K
PEACH STATE
—
05
—
000691633K
—
GA
01
—
01071252
AMERIGROUP
GA
01
—
341523
WELLCARE
GA
01
—
52778931
BCBS
GA
01
—
5581447
AETNA
GA
01
—
6638860
CIGNA
GA
01
—
P00450143
MEDICARE RAILROAD
GA
Enumeration date
10/10/2006
Last updated
11/10/2015
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