DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RANDOLPH S HARRISON, PA

Active Sole Proprietor

MR. RANDOLPH S HARRISON, PA is a Physician Assistant healthcare provider located in FORT GEORGE G MEADE, Maryland. NPI 1104962620 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT GEORGE G MEADE, MD

Registration Details

NPI Number
1104962620
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2007 (19.511953206811 yrs)
Last Updated
Apr 17, 2025
License
1070437 (FL)
Sole Proprietor
Yes

Practice Information

Address
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD, 207557081
Browse MD providers · Browse ZIP 20755
Phone
3016778798
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT GEORGE G MEADE, MD

Name Credential NPI
MS. LAUREN MICHELE ABBOTT PA 1033253869
MS. HEATHER L OFFUTT PA - C 1811029002
MEGHAN SWAFFORD PA 1972057826
AARON RODRIGUEZ PA 1316525116
ANDREW TALLMAN PA-C 1942882014
SHANE MITCHELL PA 1609541887
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.