Organization
HARBIN CLINIC, LLC
Active
Organization
HARBIN CLINIC, LLC
Active
Parent organization
HARBIN CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARBIN CLINIC, LLC
Authorized official
KENNETH F. DAVIS MD (PRESIDENT)
(762) 235-1000
Entity
Organization
Contact information
Practice address
255 W 5TH ST SW, ROME, GA 30165-2817
(706) 528-9110
(706) 528-9113
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
11/14/2024
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