Basic Information
| Provider Information | |||||||||
| NPI: | 1598788077 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FERRAN | ||||||||
| FirstName: | HARRY | ||||||||
| MiddleName: | HARPER | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4325 POST OAK PT | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 305063059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7705363041 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 655 JESSE JEWELL PKWY SE | ||||||||
| Address2: | STE B | ||||||||
| City: | GAINESVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 305013854 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7705327092 | ||||||||
| FaxNumber: | 7705360383 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 06/28/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/28/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 026111 | GA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 339826 | 01 | GA | WELLCARE | OTHER | 4638984 | 01 | GA | CIGNA | OTHER | 4299365 | 01 | GA | AETNA | OTHER | P00337854 | 01 | GA | RR MEDICARE-GRP # CC4177 | OTHER | 000299791D | 05 | GA | MEDICAID | 000299791C | 05 | GA | MEDICAID | 0908231 | 01 | GA | UHC | OTHER | 52024084 | 01 | GA | BCBS | OTHER | 10062474 | 01 | GA | AMERIGROUP | OTHER |