Provider Demographics
NPI:1154559672
Name:HARBARGER, CLAUDE FRANKLIN (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:FRANKLIN
Last Name:HARBARGER
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 1:2500 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:601-815-3781
Mailing Address - Fax:601-984-5085
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-815-3781
Practice Address - Fax:601-984-5085
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003555207Y00000X
MS23716207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL192437Medicaid
MSP01667065OtherRAILROAD MEDICARE
MS09700016Medicaid
MSP01667065OtherRAILROAD MEDICARE