Harrelson, Gary B

Harrelson, Gary B is an sole proprietor health care provider with primary practice located at 1559 Professional Pkwy , Auburn AL 36830-2858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harrelson, Gary B can be contacted via phone (334) 826-1121.

Contact Information

Primary practice address
1559 Professional Pkwy Auburn AL 36830-2858
Phone: (334) 826-1121
Fax: (334) 826-1149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11448 Alabama

Profile Details

NPI number 1831169994
LBN Legal business name Harrelson, Gary B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated May 17th, 2012 - about 14 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 1831169994 NPPES
Alabama MEDICAID 529913570
Alabama Other 51503715
Alabama Other 510G700530

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