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
Fax: (770) 836-8808
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1689631582 NPPES
Georgia MEDICAID 750276254B

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