Individual
TODD EDWARD HARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2060 DAN PROCTOR DR STE 2100, SAINT MARYS, GA 31558-3895
(912) 882-6767
Mailing address
2060 DAN PROCTOR DR STE 2100, SAINT MARYS, GA 31558-3895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3679
GA
Other
Enumeration date
05/24/2007
Last updated
01/09/2014
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