Organization Name: | HARBIN CLINIC, LLC |
NPI Number: | 1063615235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH FRANKLIN DAVIS (PRESIDENT & CEO) |
Mailing Address: | 316 W 10th St Ne Rome |
State: | GA US |
Postal Code: | 301652639 |
Phone Number: | 7062911052 |
Fax Number: | 7062909972 |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |