Provider Demographics
NPI:1861847840
Name:HARMON, KRISTIN ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:ELIZABETH
Last Name:HARMON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:840 PINE ST STE 750
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-7528
Mailing Address - Country:US
Mailing Address - Phone:478-633-1458
Mailing Address - Fax:478-633-5025
Practice Address - Street 1:840 PINE ST STE 750
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-7528
Practice Address - Country:US
Practice Address - Phone:478-633-1458
Practice Address - Fax:478-633-5025
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA96153208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery