| Boyde J Harrison, M.d. | |
|
904 26th Street Haleyville AL 35565 | |
| (205) 486-5234 | |
| Not Available |
| Full Name | Boyde J Harrison, M.d. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 904 26th Street, Haleyville, Alabama |
| Authorized Official Name and Position | Ashoke 'bappa' Mukherji (JAVA MEDICAL GROUP CEO) |
| Authorized Official Contact | 6153088800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boyde J Harrison, M.d. 42024 Hwy 195 Haleyville AL 35565 Ph: (205) 485-7108 | Boyde J Harrison, M.d. 904 26th Street Haleyville AL 35565 Ph: (205) 486-5234 |
| NPI Number | 1689336471 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689336471 | NPI | - | NPPES |
| 243660 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Boyde J. Harrison, Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 26th St, Haleyville, AL 35565 Phone: 205-486-5234 | |
Amy Traylor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Garden Ln, Haleyville, AL 35565 Phone: 256-749-1739 | |
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