Todd Edward Harlos PA-C

NPI 1952512022 - Physician Assistant - 363A00000X

NPI Details
NPI 1952512022
Gender Male
Enumeration Date 05/24/2007
Last Updated 01/09/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
2060 DAN PROCTOR DR STE 2100
SAINT MARYS GA, 31558-3895, US
Phone (912) 882-6767
Fax
Business Location
2060 DAN PROCTOR DR STE 2100
SAINT MARYS GA, 31558-3895, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 3679
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According to our database, Todd Edward Harlos PA-C NPI is 1952512022, taxonomy code is 363A00000X and license number is 3679, license state is located at Georgia. Todd Edward Harlos PA-C physically located at 2060 Dan Proctor Dr Ste 2100, Saint Marys GA, 31558-3895. NPI Number Todd Edward Harlos PA-C has the Individual type.

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1952512022 NPI number is provided on an as is basis without warranty of any kind. 1952512022 is maintained by the National Plan & Provider Enumeration System. The contents of Todd Edward Harlos PA-C are for informational purposes only.