Individual
JAMAL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PM SPECIALIST
Contact information
Practice address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7013
(334) 255-7368
Mailing address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7013
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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