Provider Demographics
NPI:1780038372
Name:RODNEY W. HARNEY MD
Entity Type:Organization
Organization Name:RODNEY W. HARNEY MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:256-351-9382
Mailing Address - Street 1:2828 HIGHWAY 31 S
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-1538
Mailing Address - Country:US
Mailing Address - Phone:256-351-9382
Mailing Address - Fax:256-351-9259
Practice Address - Street 1:2828 HIGHWAY 31 S
Practice Address - Street 2:SUITE 102
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1538
Practice Address - Country:US
Practice Address - Phone:256-351-9382
Practice Address - Fax:256-351-9259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-135425363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty