Organization
JASON D HARRAH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HARRAH (OWNER)
(251) 970-5342
Entity
Organization
Contact information
Practice address
300 E LAUREL AVE, FOLEY, AL 36535-2618
(251) 970-5342
Mailing address
300 E LAUREL AVE, FOLEY, AL 36535-2618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24577
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051507734
—
AL
Enumeration date
04/17/2008
Last updated
04/17/2008
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