Basic Information
| Provider Information | |||||||||
| NPI: | 1659453074 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARRINGTON | ||||||||
| FirstName: | GARY | ||||||||
| MiddleName: | CLAYTON | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 N COLLEGE ST | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 360372025 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3343822681 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 N COLLEGE ST | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 360372025 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3343822681 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2006 | ||||||||
| LastUpdateDate: | 03/16/2016 | ||||||||
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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 | 208600000X | E7655 | AR | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 1014600 | 05 | MD | MEDICAID | 208292 | 01 | VA | HEALTH KEEPERS | OTHER | 3640878 | 01 | MD | AETNA | OTHER | 731696432 | 01 | MD | AMERIGROUP | OTHER | 826AGA | 01 | MD | OPTIMA HEALTH | OTHER | 010367832 | 01 | VA | VIRGINIA PREMIER | OTHER | 826A | 01 | MD | MARYLAND BC/BS | OTHER | G01981G01 | 01 | MD | MARYLAND MEDICARE | OTHER | 458642 | 01 | MD | MAMSI | OTHER | 826A | 01 | MD | CAREFIRST CAPTIAL CARE BC | OTHER | 718333 | 01 | MD | NCPPO/UNICARE | OTHER | 105656 | 01 | MD | ANTHEM BC/BS | OTHER | 21849 | 01 | MD | CIGNA | OTHER | 66171 | 01 | MD | CARENET | OTHER | 731696432 | 01 | MD | NCPPO | OTHER | 0001 | 01 | MD | CAREFIRST BLUE CHOICE | OTHER | 448205 | 01 | MD | SOUTHERN HEALTH SERVICES | OTHER | 5396573 | 01 | MD | AETNA PPO | OTHER | J740-001 | 01 | MD | CAREFIRST BC/BS | OTHER | 010367832 | 05 | VA | MEDICAID | 036474600 | 05 | DC | MEDICAID | 036747600 | 05 | DC | MEDICAID | 105657 | 01 | DC | ANTHEM BC/BC | OTHER | 208292 | 01 | VA | BCBS OF VIRGINIA | OTHER |