Organization
BOYDE J HARRISON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOYDE JEROME HARRISON (OWNER)
(205) 486-5234
Entity
Organization
Contact information
Practice address
904 26TH ST, HALEYVILLE, AL 35565
(205) 486-5234
(205) 486-5232
Mailing address
PO BOX 655, HALEYVILLE, AL 35565-0655
(205) 486-5234
(205) 486-5232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10063
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0440120001
MEDICARE NFC
AL
Enumeration date
09/11/2006
Last updated
06/15/2011
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