Organization
HARRELSON FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY HARRELSON M.D. (DOCTOR)
(334) 826-1121
Entity
Organization
Contact information
Practice address
1559 PROFESSIONAL PKWY, AUBURN, AL 36830-2858
(334) 826-1121
(334) 826-1149
Mailing address
1559 PROFESSIONAL PKWY, AUBURN, AL 36830-2858
(334) 826-1121
(334) 826-1149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11448
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051503715
MEDICARE PROVIDER NUMBER
AL
01
—
51503715
BLUE CROSS
AL
05
—
529913570
—
AL
Enumeration date
10/04/2007
Last updated
06/12/2012
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