Individual
RICK ALAN HARRELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PROFESSIONAL LANE, ENTERPRISE, AL 36330
(334) 347-3404
(334) 693-0613
Mailing address
101 PROFESSIONAL LANE, ENTERPRISE, AL 36330
(334) 347-3404
(334) 693-0613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00017429
AL
207Q00000X
Family Medicine Physician
Primary
00017429
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000028525
—
AL
01
—
51028525
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/10/2006
Last updated
04/19/2022
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