Individual
GEORGE H HARRIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 SIVLEY RD SW, STE 320, HUNTSVILLE, AL 35801-5138
(256) 265-7840
(256) 539-1062
Mailing address
420 LOWELL DR SE, STE 103, HUNTSVILLE, AL 35801-3754
(256) 535-5940
(256) 535-5954
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14154
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000038567
—
AL
01
—
0004003553
AETNA IDENTIFICATION NO
—
01
—
51038567
BLUE CROSS BLUE SHIELD
AL
01
—
721350466
TAX IDENTIFICATION NO
—
Enumeration date
11/09/2005
Last updated
05/16/2016
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