Harrison, Eugene Orville

Harrison, Eugene Orville is an individual health care provider with primary practice located at 2665 N Decatur Rd Ste 350, Decatur GA 30033-6149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Harrison, Eugene Orville can be contacted via phone (404) 501-7081.

Contact Information

Primary practice address
2665 N Decatur Rd Ste 350 Decatur GA 30033-6149
Phone: (404) 501-7081
Fax: (404) 419-1680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 011652 Georgia

Profile Details

NPI number 1154319341
LBN Legal business name Harrison, Eugene Orville
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 8th, 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 1154319341 NPPES
Georgia MEDICAID 00068747C

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