Individual
ROBERT W HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9400 RHEA COUNTY HWY, DAYTON, TN 37321-7922
(423) 775-1121
(865) 291-3228
Mailing address
PO BOX 634909, CINCINNATI, OH 45263-4909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000028
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3669426
—
TN
01
—
4068966
BCBS OF TENNESSEE
TN
Enumeration date
07/03/2006
Last updated
11/16/2007
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