Harrell, Robert Ronnie

Harrell, Robert Ronnie is an individual health care provider with primary practice located at 4300 W Main St Suite 102, Dothan AL 36305-1054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Harrell, Robert Ronnie can be contacted via phone (334) 793-9564.

Contact Information

Primary practice address
4300 W Main St Suite 102 Dothan AL 36305-1054
Phone: (334) 793-9564
Fax: (334) 671-8907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5934 Alabama

Profile Details

NPI number 1083608871
LBN Legal business name Harrell, Robert Ronnie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Dec 6th, 2007 - about 18 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 1083608871 NPPES
Georgia MEDICAID 00110503A

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