Individual
DR. GARY B HARRELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1559 PROFESSIONAL PKWY, AUBURN, AL 36830-2858
(334) 826-1121
(334) 826-1149
Mailing address
1559 PROFESSIONAL PKWY, AUBURN, AL 36830-2858
(334) 826-1121
(334) 826-1149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11448
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510G700530
MEDICARE PTAN
AL
01
—
51503715
BLUE CROSS
AL
05
—
529913570
—
AL
Enumeration date
01/23/2006
Last updated
05/17/2012
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