Harrell, James Riley

Harrell, James Riley is an individual health care provider with primary practice located at 210 E Derenne Ave , Savannah GA 31405-6736. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Harrell, James Riley can be contacted via phone (912) 644-5346.

Contact Information

Primary practice address
210 E Derenne Ave Savannah GA 31405-6736
Phone: (912) 644-5346
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1417309733
LBN Legal business name Harrell, James Riley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated May 12th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417309733 NPPES
Georgia MEDICAID 003180760A

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