Basic Information
| Provider Information | |||||||||
| NPI: | 1497791628 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARMON | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | BARRY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1940 STONEGATE DR STE 130 | ||||||||
| Address2: | |||||||||
| City: | VESTAVIA HLS | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352422541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059779876 | ||||||||
| FaxNumber: | 2059779976 | ||||||||
| Practice Location | |||||||||
| Address1: | 1940 STONEGATE DR STE 130 | ||||||||
| Address2: | |||||||||
| City: | VESTAVIA HLS | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35242 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059779876 | ||||||||
| FaxNumber: | 2059779976 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2006 | ||||||||
| LastUpdateDate: | 02/18/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | 20579 | AL | N | Allopathic & Osteopathic Physicians | Dermatology | 207NS0135X | 20579 | AL | N | Allopathic & Osteopathic Physicians | Dermatology | Procedural Dermatology | 207ND0101X | 20579 | AL | Y | Allopathic & Osteopathic Physicians | Dermatology | MOHS-Micrographic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0310014 | 01 | AL | UHC | OTHER | 051517164 | 01 | AL | BC | OTHER | 051594928 | 01 | AL | BC | OTHER | 5994527 | 01 | AL | AETNA | OTHER | 070010365 | 01 | AL | RAILROAD MCR | OTHER | 107774 | 05 | AL | MEDICAID | 51048363 | 01 | AL | BC | OTHER | 051029893 | 01 | AL | BC | OTHER | 51048365 | 01 | AL | BC | OTHER | 051517266 | 01 | AL | BC | OTHER | 700013978 | 01 | AL | RAILROAD MEDICARE | OTHER | 98405 | 01 | AL | CIGNA | OTHER | 051505578 | 01 | AL | BC | OTHER | 51594928 | 01 | AL | BC | OTHER | F45566 | 01 | AL | VIVA | OTHER | 510I070017 | 01 | AL | MEDICARE | OTHER |