Individual
PAUL T HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CAROLINE DETENTION FACILITY, 11093 SW LEWIS MEMORIAL DRIVE, BOWLING GREEN, VA 22427
(804) 633-0043
(866) 475-9337
Mailing address
CAROLINE DETENTION FACILITY, 11093 SW LEWIS MEMORIAL DRIVE, BOWLING GREEN, VA 22427
(804) 633-0043
(866) 475-9337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5315137141
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
US GOVERNMENT
—
Enumeration date
08/13/2019
Last updated
08/13/2019
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