Harrison, Raymond
Harrison, Raymond is an individual health care provider with primary practice located at 1480 S Highway 27 , Carrollton GA 30117-8901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Harrison, Raymond can be contacted via phone (770) 836-9445.Contact Information
Primary practice address
1480 S Highway 27
Carrollton GA 30117-8901
Phone: (770) 836-9445
Fax: (770) 836-8808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 050634 | Georgia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 050634 | Georgia |
Profile Details
| NPI number | 1689631582 |
|---|---|
| LBN Legal business name | Harrison, Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Nov 3rd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689631582 | NPPES |
| Georgia | MEDICAID | 750276254B |
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