Provider Demographics
NPI:1487682258
Name:HARRELL, JAMES B (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:HARRELL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3290 DAUPHIN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-4062
Mailing Address - Country:US
Mailing Address - Phone:251-435-5437
Mailing Address - Fax:251-435-6744
Practice Address - Street 1:3290 DAUPHIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4062
Practice Address - Country:US
Practice Address - Phone:251-435-5437
Practice Address - Fax:251-435-6744
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-01-15
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Provider Licenses
StateLicense IDTaxonomies
AL183642080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF91624Medicare UPIN