Provider Demographics
NPI:1598788077
Name:FERRAN, HARRY HARPER JR (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:HARPER
Last Name:FERRAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 POST OAK PT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-3059
Mailing Address - Country:US
Mailing Address - Phone:770-536-3041
Mailing Address - Fax:
Practice Address - Street 1:655 JESSE JEWELL PKWY SE
Practice Address - Street 2:STE B
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3854
Practice Address - Country:US
Practice Address - Phone:770-532-7092
Practice Address - Fax:770-536-0383
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026111207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA339826OtherWELLCARE
GA4638984OtherCIGNA
GA4299365OtherAETNA
GAP00337854OtherRR MEDICARE-GRP # CC4177
GA000299791DMedicaid
GA000299791CMedicaid
GA0908231OtherUHC
GA52024084OtherBCBS
GA10062474OtherAMERIGROUP
GA339826OtherWELLCARE
GA000299791CMedicaid