Harlos, Todd Edward

Harlos, Todd Edward is an sole proprietor health care provider with primary practice located at 2060 Dan Proctor Dr Ste 2100 , Saint Marys GA 31558-3895. 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. Harlos, Todd Edward can be contacted via phone (912) 882-6767.

Contact Information

Primary practice address
2060 Dan Proctor Dr Ste 2100 Saint Marys GA 31558-3895
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3679 Georgia

Profile Details

NPI number 1952512022
LBN Legal business name Harlos, Todd Edward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Jan 9th, 2014 - about 10 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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