Provider Demographics
NPI:1659453074
Name:HARRINGTON, GARY CLAYTON (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:CLAYTON
Last Name:HARRINGTON
Suffix:
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 1:300 N COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-2025
Mailing Address - Country:US
Mailing Address - Phone:334-382-2681
Mailing Address - Fax:
Practice Address - Street 1:300 N COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037-2025
Practice Address - Country:US
Practice Address - Phone:334-382-2681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE7655208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1014600Medicaid
VA208292OtherHEALTH KEEPERS
MD3640878OtherAETNA
MD731696432OtherAMERIGROUP
MD826AGAOtherOPTIMA HEALTH
VA010367832OtherVIRGINIA PREMIER
MD826AOtherMARYLAND BC/BS
MDG01981G01OtherMARYLAND MEDICARE
MD458642OtherMAMSI
MD826AOtherCAREFIRST CAPTIAL CARE BC
MD718333OtherNCPPO/UNICARE
MD105656OtherANTHEM BC/BS
MD21849OtherCIGNA
MD66171OtherCARENET
MD731696432OtherNCPPO
MD0001OtherCAREFIRST BLUE CHOICE
MD448205OtherSOUTHERN HEALTH SERVICES
MD5396573OtherAETNA PPO
MDJ740-001OtherCAREFIRST BC/BS
VA010367832Medicaid
DC036474600Medicaid
DC036747600Medicaid
DC105657OtherANTHEM BC/BC
VA208292OtherBCBS OF VIRGINIA
VAP00607603Medicare PIN
VA00X661I01Medicare PIN
VA010367832OtherVIRGINIA PREMIER
MD731696432OtherAMERIGROUP
MD105656OtherANTHEM BC/BS