Provider Demographics
NPI:1205997160
Name:HARTON, PAUL JAMES JR (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:JAMES
Last Name:HARTON
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 1:221 TECHNOLOGY PKWY NW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-1369
Mailing Address - Country:US
Mailing Address - Phone:762-235-1000
Mailing Address - Fax:
Practice Address - Street 1:550 REDMOND RD NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1416
Practice Address - Country:US
Practice Address - Phone:706-233-8502
Practice Address - Fax:706-233-8503
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22571207W00000X
GA040092207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000660503FMedicaid
GA000660503LMedicaid
GA000660503MMedicaid
GA000660503PMedicaid
GA000660503JMedicaid
GA000660503NMedicaid
GA000660503OMedicaid
GA000660503IMedicaid
GA000660503NMedicaid
AL000045250Medicare PIN
GA000660503LMedicaid