MR. Randolph S Harrison, PA

NPI #1104962620 in Fort George G Meade, Maryland

Provider Information

NPI Number: 1104962620
Entity Type: Individual
Name: MR. Randolph S Harrison, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 30, 2007
Last Updated: Apr 17, 2025

Practice Location

Address: 2480 LLEWELLYN AVE
City: Fort George G Meade
State: Maryland
ZIP Code: 20755-7081
Phone: (301) 677-8798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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