Individual
RAYMOND HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1480 S HIGHWAY 27, CARROLLTON, GA 30117-8901
(770) 836-9445
(770) 836-8808
Mailing address
706 DIXIE ST STE 220, CARROLLTON, GA 30117-3889
(770) 838-8710
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
050634
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
050634
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750276254B
—
GA
Enumeration date
04/26/2006
Last updated
11/03/2021
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